Palkar Atul Vijay, Rapose Alwyn
Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA.
BMJ Case Rep. 2012 Sep 7;2012:bcr2012006861. doi: 10.1136/bcr-2012-006861.
A 47-year-old man presented with symptoms of fever and productive cough secondary to a left upper lobe pneumonia. He had received more than three courses of antibiotics over a 2-year period. Review of serial radiographic exams including chest x-ray and CT scans revealed consolidation of the left upper lobe. Lack of response to antibiotics prompted invasive testing with bronchoscopy which revealed a growth in the left main bronchus. Histopathology revealed squamous cell carcinoma.
一名47岁男性因左上叶肺炎出现发热和咳痰症状。在两年时间里，他接受了超过三个疗程的抗生素治疗。回顾包括胸部X光和CT扫描在内的系列影像学检查发现左上叶实变。对抗生素无反应促使进行支气管镜侵入性检查，结果显示左主支气管有肿物生长。组织病理学检查显示为鳞状细胞癌。
