气胸作为支气管类癌的非典型表现。

Pneumothorax as atypical presentation of bronchial carcinoid.

机构信息

Área de Gestión Clínica del Pulmón, Instituto Nacional de Silicosis, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.

出版信息

Ann Thorac Surg. 2013 Dec;96(6):2219-21. doi: 10.1016/j.athoracsur.2013.03.111.

DOI:10.1016/j.athoracsur.2013.03.111

PMID:24296189

Abstract

We present a case of pneumothorax associated with an endobronchial carcinoid tumor in a 18-year-old man with dyspnea and chest pain. Additional tests were done, identifying in the chest roentgenogram a complete left pneumothorax with persistent leak, which was confirmed by computed tomography of the chest, and also finding an endobronchial lesion that limited the complete reexpansion of the left lung. Surgical excision was performed, and the lesion was identified as a typical bronchial carcinoid, with satisfactory outcome after the intervention.

摘要

我们报告 1 例 18 岁男性患者，因呼吸困难和胸痛就诊，胸部 X 线片显示左侧完全性气胸，持续漏气，胸部 CT 证实左侧气胸，同时发现支气管内病变导致左肺不能完全复张，诊断为肺外支气管类癌并气胸。行手术切除，术后病理证实为典型支气管类癌，干预后效果满意。