Adachi Yoshin, Araki Kunio, Metsugi Hiroyuki, Tokushima Takeshi
Department of Surgery, Matsue Medical Center, Matsue, Japan.
Kyobu Geka. 2011 Mar;64(3):235-8.
We report a case of 24-year-old young man with lung adenocarcinoma. The patient had been treated malignant lymphoma when he was 5 years old. The patient was pointed out a tumor shadow of the right lung at his 2008 health check, but he did not receive further examination. He was again pointed out a same tumor at his 2009 health check. Plain chest computed tomography (CT) revealed a nodule in S8 of right lung. A diagnosis of lung adenocarcinoma was established by the cytology specimens obtained with bronchoscopic examination. The patient underwent right lower lobectomy with systematic lymph node dissection. Pathological stage was pT2N2M0 stage IIIA. Lung cancer patients aged under 30 years old are rare. Lung cancer should be considered even in young patients with abnormal chest shadows.
我们报告一例24岁的肺腺癌青年男性病例。该患者5岁时曾接受恶性淋巴瘤治疗。2008年健康检查时发现其右肺有肿瘤阴影，但他未接受进一步检查。2009年健康检查时再次发现相同肿瘤。胸部平扫计算机断层扫描（CT）显示右肺S8区有一个结节。通过支气管镜检查获取的细胞学标本确诊为肺腺癌。患者接受了右下叶切除术及系统性淋巴结清扫。病理分期为pT2N2M0 ⅢA期。30岁以下的肺癌患者较为罕见。即使是胸部阴影异常的年轻患者也应考虑肺癌的可能。
