Tezuka Yasuhiro, Ueno F, Hasegawa T, Otani S, Tetsuka K, Sato Y, Endo S, Sohara Y
Department of Thoracic Surgery, Jichi Medical School, Simotsuke, Japan.
Kyobu Geka. 2008 Mar;61(3):195-8.
A 62-year old man with an abnormal chest radiograph was referred to our hospital for further evaluation. Chest computed tomography (CT) revealed a 3.0 cm tumor on the hilum of the right S3 segment. Bronchofiberscopic findings showed a polypoid tumor arising from right B3. Brushing cytology under bronchofiberscopy couldnot diagnose the tumor. The tentative preoperative diagnosis was primary lung cancer or a metastatic lung tumor. To confirm the histopathological diagnosis, a right upper lobectomy was performed. Intraoperative histopathological examination showed a pulmonary inflammatory pseudotumor.
一名胸部X光片异常的62岁男性被转诊至我院做进一步评估。胸部计算机断层扫描(CT)显示右肺上叶S3段肺门处有一个3.0厘米的肿瘤。纤维支气管镜检查结果显示一个从右肺B3支气管长出的息肉样肿瘤。纤维支气管镜下的刷检细胞学检查无法诊断该肿瘤。术前初步诊断为原发性肺癌或肺转移瘤。为明确组织病理学诊断,实施了右上肺叶切除术。术中组织病理学检查显示为肺炎性假瘤。