Okubo T, Shimazaki T, Shindo G, Kitashiro N, Tsukamoto T
Department of Surgery, Ebetsu City Hospital, Ebetsu, Japan.
Kyobu Geka. 2008 Nov;61(12):1053-6.
A 69-year-old female visited our hospital because of dyspnea. Chest X-ray showed an abnormal shadow in the right lower lung field. Chest computed tomography (CT) showed a round, well-circumscribed, homogenous subpleural nodle of 8 mm in diameter in the right lower lobe, which had no calcification and no pleural indentation. Bronchofiber scope, abdominal CT, brain magnetic resonance imaging (MRI), bone scintigraphy could not establish definitive diagnosis. Scince the possibility of malignancy could not be excluded throughout, video-assisted thoracoscopic surgery was performed to obtain confirmed diagnosis. Pathological examination revealed non-chondromatous hamartoma of the lung. Non-chondromatous hamartoma should be considered in the differential diagnosis of pulmonary nodles. We report a rare case of non-chondromatous hamartoma.
一名69岁女性因呼吸困难前来我院就诊。胸部X线显示右下肺野有异常阴影。胸部计算机断层扫描(CT)显示右下叶有一个直径8毫米的圆形、边界清晰、均匀的胸膜下结节,无钙化及胸膜凹陷。纤维支气管镜、腹部CT、脑部磁共振成像(MRI)、骨闪烁显像均未能明确诊断。由于始终无法排除恶性肿瘤的可能性,遂行电视辅助胸腔镜手术以明确诊断。病理检查显示为肺非软骨性错构瘤。在肺结节的鉴别诊断中应考虑非软骨性错构瘤。我们报告一例罕见的非软骨性错构瘤病例。