Couraud Sébastien, Isaac Sylvie, Guibert Benoît, Souquet Pierre-Jean
Department of Respiratory Medicine and Thoracic Oncology, Lyon University Hospital, Pierre Bénite Cedex, France.
Interact Cardiovasc Thorac Surg. 2012 Mar;14(3):347-9. doi: 10.1093/icvts/ivr104. Epub 2011 Dec 20.
A 54-year old male, current smoker, was admitted to the emergency unit with lingular pneumonia. The follow-up chest CT and bronchoscopy showed an airway-blocking intrabronchial tumour. After surgical resection, pathological examination established the diagnosis of a bronchial mucous gland adenoma. The bronchial mucous gland adenoma is an extremely rare and benign lung tumour. It is composed of mucus-containing acini lined with cuboidal cells without pleomorphism. Total surgical resection is usually required for complete diagnosis and treatment. The main differential diagnoses are a low-grade mucoepidermoid carcinoma and a mucinous cystadenoma of the lung. This case highlights the importance of a complete lung workup after acute pneumonia in patients with a history of smoking, including the CT scan and bronchoscopy.
一名54岁男性，目前仍在吸烟，因舌叶肺炎入住急诊科。后续胸部CT和支气管镜检查显示支气管内有阻塞气道的肿瘤。手术切除后，病理检查确诊为支气管黏液性腺瘤。支气管黏液性腺瘤是一种极其罕见的良性肺肿瘤。它由内衬立方细胞且无异型性的含黏液腺泡组成。通常需要进行完整的手术切除以实现完整的诊断和治疗。主要的鉴别诊断包括低级别黏液表皮样癌和肺黏液性囊腺瘤。该病例强调了对有吸烟史的急性肺炎患者进行全面肺部检查的重要性，包括CT扫描和支气管镜检查。
