Yamada Tetsu, Chiba W, Yasuba H, Shimada T, Kudo M, Hamada K, Yamashita K, Kita H, Hitomi S
Division of Thoracic Surgery, Takatsuki Red Cross Hospital, Takatsuki, Japan.
Kyobu Geka. 2005 Jul;58(7):531-6.
A 63-year-old man who was pointed out abnormal shadow on chest X-ray admitted to our hospital. Chest computed tomography (CT) showed a tumor originated from right upper bronchus and grew into right main bronchus. The tumor was diagnosed as mucoepidermoid carcinoma by bronchoscopic biopsy. Fluorodeoxyglucose positron emission tomography (FDG-PET) showed abnormal uptake localized at the tumor. The standardized uptake values of the tumor 60 minutes after injection were 2.86, and 120 minutes after injection, it increased to 3.97. Right upper lobectomy with bronchoplasty by deep wedge resection of right main bronchus at the orifice of right upper bronchus and lymphadenectomy was performed. Pathological diagnosis was high-grade mucoepidermoid carcinoma without lymph nodes metastasis which was compatible with FDG-PET. Postoperative course was uneventful.
一名63岁男性因胸部X线检查发现异常阴影而入院。胸部计算机断层扫描(CT)显示肿瘤起源于右主支气管并长入右主支气管。经支气管镜活检,该肿瘤被诊断为黏液表皮样癌。氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)显示肿瘤部位有异常摄取。注射后60分钟肿瘤的标准化摄取值为2.86,注射后120分钟,该值升至3.97。行右上叶切除术,在右上支气管开口处对右主支气管进行深楔形切除并进行支气管成形术及淋巴结清扫术。病理诊断为高级别黏液表皮样癌,无淋巴结转移,与FDG-PET结果相符。术后病程顺利。