Takahashi H, Kimura S, Nagai I, Kubota M, Aono K
Second Department of Surgery, School of Medicine, Ehime University, Japan.
Jpn J Surg. 1990 Sep;20(5):597-601. doi: 10.1007/BF02471020.
We report herein a rare case of middle lobe syndrome, occurring in two sisters. Since selective aspirations of sputum under bronchoscopic guidance proved ineffective, a middle lobectomy was performed in both cases. Histological findings of the resected specimens showed overgrowth of the bronchial glands, lymphocytic infiltration around the alveoli and glandular metaplasia of the alveoli in both cases. Based on the allergic diathesis, we suggest that in these 2 sisters, middle lobe syndrome was caused by chronic inflammation.
我们在此报告一例罕见的中叶综合征，发生在两姐妹身上。由于支气管镜引导下的痰液选择性抽吸无效，两例均进行了中叶切除术。切除标本的组织学检查结果显示，两例均有支气管腺体过度增生、肺泡周围淋巴细胞浸润以及肺泡腺化生。基于过敏素质，我们认为在这两姐妹中，中叶综合征是由慢性炎症引起的。
