Sakurai Hiroyuki, Takano Kunio, Shindo Shunya, Matsumoto Masahiko
Second Department of Surgery, Faculty of Medicine, University of Yamanashi, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan.
Jpn J Thorac Cardiovasc Surg. 2005 Jul;53(7):397-9. doi: 10.1007/s11748-005-0059-x.
We report a case of a 52-year-old female with spontaneous disappearance of focal ground-glass opacity (GGO) detected on high-resolution computed tomography (HRCT). She initially was found to have a focal GGO lesion on follow-up computed tomography five years after left lower lobectomy for primary lung adenocarcinoma. Two months later, this lesion spontaneously disappeared in spite of the suspicion of subsequent lung cancer. A GGO appearance on HRCT can be found in a variety of diseases with partial air-space filling or interstitial thickening. Lung cancer, especially bronchioloalveolar carcinoma, is also included in the differential diagnosis for GGO lesions. However, there is little definite evidence about the management of lesions showing a GGO appearance. When we detect a GGO lesion, initial monitoring for several months may be useful for excluding the presence of lung neoplasms.
我们报告一例52岁女性,其在高分辨率计算机断层扫描(HRCT)上发现局灶性磨玻璃影(GGO)自发消失。她最初是在因原发性肺腺癌行左下叶切除术后五年的随访计算机断层扫描中发现有局灶性GGO病变。两个月后,尽管怀疑有后续肺癌,但该病变自发消失。HRCT上的GGO表现可见于多种伴有部分气腔填充或间质增厚的疾病。肺癌,尤其是细支气管肺泡癌,也包含在GGO病变的鉴别诊断中。然而,关于表现为GGO的病变的处理,几乎没有确切证据。当我们检测到GGO病变时,最初数月的监测可能有助于排除肺部肿瘤的存在。