Nagahiro Itaru, Nouso Hiroshi, Kawai Tsuyoshi, Toda Keisuke, Nobuhisa Tetsuji, Endou Yoshikatsu, Watanabe Takanori, Matsumoto Yusuke, Kai Kyohei, Ishizuka Shinji, Satou Shizou
Department of Surgery, Himeji Red Cross Hospital, Himeji, Japan.
Kyobu Geka. 2010 Apr;63(4):332-5.
A 64-year-old male with throat discomfort visited our hospital, and a chest computed tomography (CT) scan revealed a cystic lesion with a central solid component in the right lung (in the lower lobe, 4.1 x 3.9 cm in diameter). Transbronchial lung biopsy was performed and the lesion was diagnosed as mucosa-associated lymphoid tissue (MALT) lymphoma of the lung. No other lymphoma lesion was detected and it was diagnosed as the stage I-E, and a right lower lobectomy was performed. The cystic lesion derived from alveolus and bronchus destroyed by lymphoma infiltration and it might be caused by air retention due to check-valve mechanism.
一名64岁男性因咽喉不适前来我院就诊,胸部计算机断层扫描(CT)显示右肺(下叶)有一个直径4.1×3.9 cm的囊性病变,中心有实性成分。进行了经支气管肺活检,病变被诊断为肺黏膜相关淋巴组织(MALT)淋巴瘤。未检测到其他淋巴瘤病变,诊断为I-E期,并进行了右下肺叶切除术。淋巴瘤浸润破坏了源自肺泡和支气管的囊性病变,可能是由于单向阀机制导致气体潴留所致。