Yabuki H, Shiono S, Abiko M, Matsumura Y, Okazaki T, Chiba M, Sato T
Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Kyobu Geka. 2010 May;63(5):419-22.
A 72-year-old man was admitted to our hospital due to abnormal shadow in the right hilum by a routine chest X-ray. When we had another look at a chest X-ray that had been taken 6 years before, we had found a pulmonary nodule of 18 mm in size. The chest X-ray and computed tomography (CT) taken at admission showed a round nodule with calcification in the same site, with increasing in size to 30 mm. The tumor could not be clinically diagnosed and the surgery was scheduled because the nodule had grown and the possibility of a malignant tumor was suggested. At surgery, the tumor was easily enucleated and the pathological diagnosis was chondromatous hamartoma. Although pulmonary hamartoma is a benign tumor, operation should be performed when the tumor had grown.
一名72岁男性因常规胸部X线检查发现右肺门异常阴影而入住我院。当我们再次查看6年前拍摄的胸部X线片时,发现了一个大小为18毫米的肺结节。入院时拍摄的胸部X线片和计算机断层扫描(CT)显示同一部位有一个伴有钙化的圆形结节,大小增至30毫米。临床上无法对该肿瘤进行诊断,由于结节增大且提示有恶性肿瘤的可能性,因此安排了手术。手术中,肿瘤很容易被摘除,病理诊断为软骨瘤性错构瘤。虽然肺错构瘤是一种良性肿瘤,但当肿瘤生长时应进行手术。