Yamada Masahiro, Goto S, Koshika M, Arao T, Fuyama S
Department of Thoracic Surgery, Okitama General Hospital, Yamagata, Japan.
Kyobu Geka. 2007 Jul;60(7):541-5.
We report a case of 72-year-old male of adenocarcinoma with micropapillary component of the lung. Though the hilar lymph node metastasis was eminent, primary site was difficult to identify by using computed tomography (CT). SUV max with positron emission (PET)-CT in the case suggested the lung cancer in the emphysematous lung and it became an operation. The pathology diagnosis of the excision lungs was T4 (pml) N1 (#10, 12u) M0 stage IIIB. It was generated in emphysema, and it seemed that an adenocarcinoma with micropapillary component that did typical progress.
我们报告一例72岁男性肺腺癌伴微乳头成分。尽管肺门淋巴结转移明显,但通过计算机断层扫描(CT)难以确定原发部位。该病例的正电子发射断层扫描(PET)-CT最大标准摄取值(SUV max)提示肺气肿肺内的肺癌,遂行手术。切除肺组织的病理诊断为T4(pml)N1(#10,12u)M0 IIIB期。肿瘤发生于肺气肿内,似乎是一例具有典型进展的伴微乳头成分的腺癌。