Longo Marina, Levra Matteo Giaj, Capelletto Enrica, Billè Andrea, Ardissone Francesco, Familiari Ubaldo, Novello Silvia
Thoracic Oncology Unit, Department of Biological and Clinical Sciences, University of Turin, Italy.
J Thorac Oncol. 2008 Apr;3(4):441-3. doi: 10.1097/JTO.0b013e318169cd9a.
We report the case of a 25-year-old woman with a chance detection at x-ray of a well-defined mass in the right upper lobe during a medical examination. The patient suffered from a modest flu syndrome, with cough and fever. She was a current smoker. CT scan showed a homogeneous well-defined perihilar mass without calcifications, located in the right upper lobe and fully surrounded by aerated parenchyma. A right upper lobectomy with mediastinal lymph node sampling was performed. A pathologic diagnosis of well-differentiated fetal adenocarcinoma of the lung was made and staged as T2N0. Few cases of this type of malignancy have been reported in literature.
我们报告了一例25岁女性的病例，该患者在一次体检的胸部X光检查中偶然发现右上叶有一个边界清晰的肿块。患者有轻度流感样综合征，伴有咳嗽和发热。她目前仍在吸烟。CT扫描显示右上叶有一个边界清晰、均匀的肺门周围肿块，无钙化，完全被含气实质所包绕。遂行右上叶切除术及纵隔淋巴结采样。病理诊断为高分化胎儿型肺腺癌，分期为T2N0。文献中报道的这类恶性肿瘤病例很少。
