Lu Zhenya, Qian Fangfang, Chen Shanwen, Yu Guowei
Department of Internal Medicine, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China.
The First Clinical Medicine, Wenzhou Medical University, Wenzhou, Zhejiang 325000, P.R. China.
Oncol Lett. 2014 Jun;7(6):1885-1888. doi: 10.3892/ol.2014.2043. Epub 2014 Apr 8.
The current study presents the case of a patient with multiple pulmonary nodules as observed by computed tomography. Furthermore, a marginal increase in fluorodeoxyglucose uptake was identified by positron emission tomography. Due to the appearance of multiple small nodules and a history of radical nephrectomy, a hypothetical diagnosis of pulmonary metastasis of a previously excised renal carcinoma was determined, which was confirmed by biopsy. Video-assisted thoracoscopic surgical resection of the nodules was proposed and pathological examination exhibited an unforeseen and rare observation.
本研究报告了一例通过计算机断层扫描观察到有多个肺结节的患者。此外,正电子发射断层扫描显示氟脱氧葡萄糖摄取略有增加。由于出现多个小结节以及既往有根治性肾切除术史,初步诊断为既往切除的肾癌肺转移,活检证实了这一诊断。建议通过电视辅助胸腔镜手术切除结节,病理检查发现了一个意外且罕见的情况。