Olgac Guven, Peirovi Farzin, Yilmaz Aynur, Kutlu Cemal Asim
Department of Thoracic Surgery, Sureyyapasa Chest Diseases, Chest Surgery Training and Research Hospital, Istanbul, Turkey.
Ann Thorac Surg. 2007 Oct;84(4):1375-6. doi: 10.1016/j.athoracsur.2007.05.041.
A 42-year-old woman who previously underwent two consecutive thoracotomies for a lower lobe mass in her right lung was referred to our clinic for further management. Both procedures were abandoned due to excessive bleeding. Computed tomographic angiography demonstrated an infra-diaphragmatic systemic arterial supply of the mass similar to pulmonary sequestration. However the lobe had a normal venous drainage to the left atrium. Then a right lower lobectomy was undertaken through a hemi-clamshell incision, and histopathology revealed an atypical carcinoid tumor. The patient was discharged home after a satisfactory postoperative period. She still remains disease free at 14 months follow-up.
一名42岁女性，此前因右肺下叶肿块连续接受了两次开胸手术，后因出血过多而放弃手术。现转诊至我院进一步治疗。计算机断层血管造影显示该肿块有膈下系统性动脉供血，类似肺隔离症。然而，该肺叶静脉正常引流至左心房。随后通过半蛤壳切口进行了右下肺叶切除术，组织病理学显示为非典型类癌肿瘤。术后恢复良好，患者出院。在14个月的随访中，她仍无疾病复发。
