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乳腺癌后伴支气管扩张的肺隔离症中的类癌小结节:一例报告

Carcinoid tumorlet in pulmonary sequestration with bronchiectasis after breast cancer: A case report.

作者信息

Ye Yiwang, Mu Zhimin, Wu DA, Xie Yuancai

机构信息

Department of Thoracic Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, P.R. China.

出版信息

Oncol Lett. 2013 May;5(5):1546-1548. doi: 10.3892/ol.2013.1210. Epub 2013 Feb 22.

Abstract

Pulmonary sequestration (PS) is an uncommon lung disease. Carcinoid tumorlets in pulmonary sequestration are extremely rare. This case report presents a rare clinical case of carcinoid tumorlet in pulmonary sequestration with bronchiectasis after breast cancer. A 64-year-old female was diagnosed with infiltrating ductal carcinoma of the left breast in February 2009. Chest computer tomography (CT) revealed a cystic low-density mass of ∼2.5×4.7 cm in the right lower lung field, as well as cystic bronchiectasis in the right lower lobe. A right lower lobectomy was performed. In the surgery, abnormal vessel growth from the mass was found. Therefore, intralobar PS was diagnosed and pathological examination supported the diagnosis. Subsequently, pathological examination identified a carcinoid tumorlet in the PS. This report presents a rare clinical case of PS and bronchiectasis as well as carcinoid tumorlet in PS following diagnosis of breast cancer three years earlier. When a mass is found in the lung of patents with bronchiectasis with a history of breast cancer, aggressive therapy should be considered, since the mass may be a tumor or precancerous lesion.

摘要

肺隔离症(PS)是一种罕见的肺部疾病。肺隔离症中的类癌小结极为罕见。本病例报告展示了一例罕见的临床病例,即一名乳腺癌患者在患肺隔离症后出现类癌小结并伴有支气管扩张。一名64岁女性于2009年2月被诊断为左乳腺浸润性导管癌。胸部计算机断层扫描(CT)显示右下肺野有一个约2.5×4.7厘米的囊性低密度肿块,以及右下叶的囊性支气管扩张。遂进行了右下叶切除术。手术中发现肿块有异常血管生长。因此,诊断为叶内型肺隔离症,病理检查支持该诊断。随后,病理检查在肺隔离症中发现了一个类癌小结。本报告呈现了一例罕见的临床病例,即肺隔离症、支气管扩张以及在三年前诊断为乳腺癌后出现的肺隔离症中的类癌小结。当有乳腺癌病史且患有支气管扩张的患者肺部发现肿块时,应考虑积极治疗,因为该肿块可能是肿瘤或癌前病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07eb/3678756/5c3521e2beb7/OL-05-05-1546-g00.jpg

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