Takizawa Masaya, Tanaka Nobuyoshi, Tsunezuka Yoshio, Katayanagi Kazuyoshi, Kurumaya Hiroshi
Department of Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Kyobu Geka. 2014 Apr;67(4):333-6.
A 74-year-old female underwent hysterectomy and bilateral ovariectomy for uterine endometrial stromal sarcoma( ESS), low grade, at another hospital 31 years previously. When the patient was admitted for pneumonia, a lung tumor was pointed out on her chest X-ray and computed tomography( CT) scan. Chest X-ray showed an oval figure shadow of about 3.5 cm in diameter in the right lower lung field.Chest CT scan revealed an irregular form tumor of 3.5 cm in diameter in the right S8 of the lung. Fluorodeoxyglucose-positron emission tomography (FDG-PET) scan identified an abnormal accumulation of FDG at the tumor site. A pulmonary metastasis of the ESS was suspected by transbronchial lung biopsy, and the patient underwent the thoracoscopic partial resection of the right lower lobe of the lung.Histologically, the tumor was diagnosed as metastasis of the ESS, low grade.
31年前，一名74岁女性在另一家医院因低度子宫子宫内膜间质肉瘤（ESS）接受了子宫切除术和双侧卵巢切除术。患者因肺炎入院时，胸部X线和计算机断层扫描（CT）显示肺部有肿瘤。胸部X线显示右下肺野有一个直径约3.5cm的椭圆形阴影。胸部CT扫描显示右肺S8有一个直径3.5cm的不规则形肿瘤。氟脱氧葡萄糖正电子发射断层扫描（FDG-PET）显示肿瘤部位有FDG异常聚集。经支气管肺活检怀疑为ESS肺转移，患者接受了胸腔镜右下肺叶部分切除术。组织学检查诊断为低度ESS转移瘤。
