Kimura I, Kiuchi H, Sakamoto Y, Yamamoto K, Dohi Y, Takahama M
Second Department of Internal Medicine, Saitama Medical College, Japan.
Jpn J Med. 1990 Jan-Feb;29(1):32-7. doi: 10.2169/internalmedicine1962.29.32.
A 44-year-old woman was hospitalized for nonproductive cough. Chest roentogenogram revealed a calcified nodular mass at the right hilum. The patient was treated as tuberculosis of the hilar lymph node, however, her symptoms exacerbated within a year. A tumor obstructing the right main stem bronchus was demonstrated on bronchofiberscopic examination. Thoracotomy was carried out and tumor was diagnosed as primary osteogenic sarcoma of the pulmonary artery by pathological examination of the resected specimen. There was no clinical finding of osteogenic sarcoma throughout the bones.
一名44岁女性因干咳入院。胸部X线片显示右肺门有一钙化结节状肿块。该患者被当作肺门淋巴结结核治疗，但一年内症状加重。纤维支气管镜检查显示有一肿瘤阻塞右主支气管。遂行开胸手术，切除标本的病理检查诊断肿瘤为肺动脉原发性骨肉瘤。全身骨骼均未发现骨肉瘤的临床迹象。
