Fujimoto Hiroyuki, Suito Tetsushi, Oyama Takahiko
Department of Thoracic Surgery, Ashikaga Red Cross Hospital, Ashikaga, Japan.
Kyobu Geka. 2012 Jun;65(6):493-5.
A 60-year-old woman was referred to our hospital with an abnormal shadow on chest radiography. Chest computed tomography( CT) showed a nodular shadow 1 cm in diameter with spiculation at S6a of the right inferior lobe. The patient was diagnosed as having a class V squamous cell carcinoma by bronchoscopic exfoliative cytology and was thus hospitalized for surgery. The nodule was resected by partial resection of the lung for intraoperative rapid pathology. Since the diagnosis was an inflammatory node, further procedure was not performed. Histopathological examination of the permanent specimen revealed a diagnosis of pulmonary cryptococcosis.
一名60岁女性因胸部X线摄影显示异常阴影而转诊至我院。胸部计算机断层扫描(CT)显示右下叶S6a有一个直径1cm的结节状阴影,伴有毛刺征。经支气管镜脱落细胞学检查,该患者被诊断为Ⅴ级鳞状细胞癌,因此住院接受手术治疗。术中通过肺部分切除术切除结节以进行快速病理检查。由于诊断为炎性结节,未进行进一步手术。永久标本的组织病理学检查显示诊断为肺隐球菌病。