Lee Y O, Kim D H, Kim C H, Park T I, Cho S
Department of Thoracic and Cardovascular Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea.
Thorac Cardiovasc Surg. 2009 Apr;57(3):178-9. doi: 10.1055/s-2008-1038469. Epub 2009 Mar 27.
A 64-year-old woman presented with an intractable cough and purulent sputum, and a chest CT revealed a mass within the left lower lobar bronchial orifice. A flexible bronchoscopy demonstrated a red, glistening, nodular single lesion, obstructing the lumen of the left lower lobe of the bronchus, and biopsy of the specimen showed squamous papilloma. Surgical resection was selected for the definite treatment, and a simple left lower lobectomy was performed. Histopathological examination revealed a 1.2 x 1.0 cm sized bronchial obstructing mass and the diagnosis of squamous papilloma was confirmed with low p53, Ki-67 (less than 5 %) and focal weak positive CEA expression. The patient had an uncomplicated postoperative course and remains asymptomatic 3 months afterwards.
一名64岁女性因顽固性咳嗽和脓性痰就诊,胸部CT显示左肺下叶支气管开口处有一肿块。柔性支气管镜检查发现一个红色、有光泽的结节状单发病变,阻塞左肺下叶支气管腔,标本活检显示为鳞状乳头状瘤。选择手术切除作为确定性治疗,进行了单纯左肺下叶切除术。组织病理学检查发现一个大小为1.2×1.0 cm的支气管阻塞性肿块,低p53、Ki-67(小于5%)以及局灶性CEA弱阳性表达证实了鳞状乳头状瘤的诊断。患者术后恢复顺利,3个月后仍无症状。