Division of Cardiothoracic Surgery, Department of Radiology, Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Ann Thorac Surg. 2011 Aug;92(2):714-5. doi: 10.1016/j.athoracsur.2011.02.028.
We present a 35-year-old man with a preoperative diagnosis of a right lower lobe cystic mass. Misled by a radiological suggestion of an intraparenchymal lesion, he had a thoracotomy and right lower lobectomy. An intraoperative finding of a pedunculated cyst arising from the parietal pleural with subsequent histopathology confirmation of a benign bronchogenic cyst, however, would have made a less invasive surgical excision more appropriate.
我们报告了一位 35 岁男性,术前诊断为右下叶囊性肿块。由于影像学提示为实质内病变,他接受了开胸和右下肺叶切除术。然而,术中发现一个从壁层胸膜起源的带蒂囊肿,随后组织病理学证实为良性支气管源性囊肿,这表明采用较为微创的切除方式会更为恰当。