Yamagami Takuji, Yoshimatsu Rika, Miura Hiroshi, Tanaka Osamu, Shimada Junichi, Kato Daishiro, Nakamura Terukazu, Yamada Kei, Awai Kazuo
Department of Diagnostic Radiology, Institute and Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan ; Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Acta Radiol Short Rep. 2014 Jan 23;3(1):2047981613499754. doi: 10.1177/2047981613499754. eCollection 2014 Jan.
We report the case of a 33-year-old man with a testicular tumor and multiple lung metastases. After high orchiectomy, chemotherapy was administered. Subsequently, fluoroscopy-assisted thoracoscopic resection was performed for pulmonary lesions that had decreased in size after the chemotherapy but had persisted. Because four pulmonary lesions were too small to detect by fluoroscopy during the operation, Lipiodol marking was done before thoracoscopic resection. Sixteen days after the surgery, pneumonia after Lipiodol injection occurred on the lung contralateral to that injected with Lipiodol. Pneumonia improved rapidly after intravenous infusion of antibiotics.
我们报告了一例33岁患有睾丸肿瘤并伴有多处肺转移的男性病例。在进行高位睾丸切除术后，给予了化疗。随后，对化疗后体积缩小但仍持续存在的肺部病变进行了荧光透视辅助胸腔镜切除术。由于术中发现四个肺部病变太小，荧光透视无法检测到，因此在胸腔镜切除术前进行了碘油标记。手术后16天，在注射碘油对侧的肺部发生了碘油注射后肺炎。静脉输注抗生素后，肺炎迅速好转。
