Usuda Ryosuke, Yamaguchi Fumihiro, Uematsu Shugo, Masunaga Atsuko, Nonaka Makoto, Suzuki Takashi
Department of General Thoracic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan.
Gen Thorac Cardiovasc Surg. 2011 Apr;59(4):293-6. doi: 10.1007/s11748-010-0641-8. Epub 2011 Apr 12.
A 69-year-old man was hospitalized for fever and cough. He was diagnosed with and treated for an abscess in the left lower jaw and pneumonia by an otolaryngologist, but the pneumonia persisted with no improvement. Chest computed tomography revealed the presence of a heterogeneous torose lesion in the inlet of the left upper bronchus, and bronchoscopy revealed an endobronchial tumor with a smooth surface. An episode of sudden dyspnea occurred and was resolved after the patient changed his sitting position. We concluded that this symptom occurred because the tumor was incarcerated in the left lower lobe bronchus. The tumor was excised by bronchofi berscopic snare resection under tracheal intubation. It was found to be a pleomorphic carcinoma, and left upper lobectomy was performed. There has been no recurrence during the 3 years since the operation.
一名69岁男性因发热和咳嗽入院。他被耳鼻喉科医生诊断为左下颌脓肿和肺炎并接受了治疗，但肺炎持续存在且无改善。胸部计算机断层扫描显示左上支气管入口处有一个不均匀的结节状病变，支气管镜检查发现一个表面光滑的支气管内肿瘤。患者出现了一次突发性呼吸困难，在改变坐姿后缓解。我们得出结论，该症状是由于肿瘤嵌顿在左下叶支气管所致。在气管插管下通过支气管镜圈套切除术切除了肿瘤。病理检查发现是多形性癌，并进行了左上叶切除术。术后3年无复发。
