Matsukura T, Hanawa T, Kuwabara M, Motoishi M, Fujimoto T, Okazaki T, Yamashita N, Matsubara Y
Respiratory Disease Center, Kyoto Katsura Hospital, Kyoto, Japan.
Kyobu Geka. 2006 Dec;59(13):1213-6.
A 61-year-old woman was admitted due to severe coughing. Chest X-ray revealed a mass in the right lower lung field at standing position and in the right upper lung field at supine position. A position of the mass changed with change in her posture because of lobar torsion. Bronchoscopic biopsy of the polypoid tumor obstructing the right upper bronchus revealed adenocarcinoma. She had hypertrophic osteoarthropathy simultaneously. Right pneumonectomy was performed. Postoperative course has been uneventful for 3 years.
一名61岁女性因严重咳嗽入院。胸部X线检查显示,站立位时右下肺野有一肿块,仰卧位时右上肺野有一肿块。由于肺叶扭转,肿块位置随体位改变而变化。对阻塞右上支气管的息肉样肿瘤进行支气管镜活检,结果显示为腺癌。她同时患有肥大性骨关节病。遂行右肺切除术。术后3年病情平稳。