Sengupta Amitabha, Saha Kaushik, Jash Debraj, Bandyopadhyay Ankan
J Assoc Physicians India. 2013 Nov;61(11):839-41.
A young lady presented with cough for three months and dyspnoea for one month along with clinical signs of bilateral consolidation of lung. On CT scan thorax there were bilateral air bronchograms with alveolar filling opacities predominantly in lower lobes. After bronchoscopy when there was presence of suspicious malignant cells on bronchoalveolar lavage fluid, transbronchial lung biopsy diagnosed the case as squamous cell lung cancer. Radiological presentation of squamous cell lung cancer as air bronchogram is not a very common phenomenon and can present a diagnostic challenge to the clinician.
一位年轻女性出现咳嗽三个月、呼吸困难一个月,伴有肺部双侧实变的临床体征。胸部CT扫描显示双侧空气支气管征,肺泡填充性混浊主要位于下叶。支气管镜检查后,支气管肺泡灌洗液中发现可疑恶性细胞,经支气管肺活检诊断为鳞状细胞肺癌。鳞状细胞肺癌的影像学表现为空气支气管征并非非常常见的现象,可能给临床医生带来诊断挑战。