Lee C H, Juang Y C, Hsueh C
Department of Pulmonary Medicine, Chang Guang Memorial Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1990 Nov;89(11):1012-4.
A 42-year-old woman presented with chronic cough and dyspnea. A leiomyoma of the right middle lobe of the bronchus was diagnosed by bronchoscopic biopsy and treated successfully by neodymium-yttrium aluminum garnet laser, via fiberoptic bronchoscope. The presentations of bronchial leiomyoma are mainly due to partial or complete occlusion of the involved bronchus. Symptoms are mainly cough, wheeze, chest pain and fever, as a result of atelectasis, consolidation, collapse or bronchiectasis. The management of this benign tumor of the lung is discussed, and the importance of early diagnosis and conservative therapy are emphasized.
一名42岁女性因慢性咳嗽和呼吸困难前来就诊。经支气管镜活检诊断为右中叶支气管平滑肌瘤,并通过钕钇铝石榴石激光经纤维支气管镜成功治疗。支气管平滑肌瘤的表现主要是由于受累支气管部分或完全阻塞。症状主要为咳嗽、喘息、胸痛和发热,这是肺不张、实变、塌陷或支气管扩张的结果。本文讨论了这种肺良性肿瘤的治疗方法,并强调了早期诊断和保守治疗的重要性。