Sakamoto Kazuhiro, Ando Kohei, Noma Daisuke
Department of Respiratory Surgery, National Hospital Organization Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-ku, Yokohama, 245-8575, Japan,
Surg Today. 2015 Sep;45(9):1197-9. doi: 10.1007/s00595-014-1006-1. Epub 2014 Aug 7.
We herein describe a very rare case of pulmonary hamartoma with pleural dissemination. A 77-year-old male was referred to our department for a further investigation of an abnormal chest radiograph. Chest computed tomography showed a 15 mm nodule in the left lung with small pleural nodules. Thoracoscopic resection of the nodules was performed, as the possibility of malignancy could not be ruled out. The intraoperative findings revealed a white nodule with a lumpy surface in the left lower lobe that had penetrated the visceral pleura. Several smaller nodules were found on the pleural surface. Pathologically, the pulmonary and pleural nodules were chondromatous hamartomas.
我们在此描述一例极为罕见的伴有胸膜播散的肺错构瘤病例。一名77岁男性因胸部X线片异常被转诊至我科做进一步检查。胸部计算机断层扫描显示左肺有一个15毫米的结节及小的胸膜结节。由于不能排除恶性的可能性,遂对这些结节进行了胸腔镜切除。术中发现左肺下叶有一个表面呈块状的白色结节,已穿透脏层胸膜。在胸膜表面发现了几个较小的结节。病理检查显示,肺和胸膜结节均为软骨瘤性错构瘤。