Shinohara Shinji, Hanagiri Takeshi, Takenaka Masaru, Oka Soichi, Chikaishi Yasuhiro, Shimokawa Hidehiko, Nakagawa Makoto, Uramoto Hidetaka, So Tomoko, Tanaka Fumihiro
Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2015 Jun 1;37(2):121-5. doi: 10.7888/juoeh.37.121.
We herein report a very rare case of adenoid cystic carcinoma of the peripheral lungs. A 77-year-old female visited a family physician for aortitis syndrome, diabetes mellitus and hyperlipidemia. A follow-up chest computed tomography scan for aortitis syndrome revealed a nodule in the middle lobe of the right lung. Although a transbronchial lung biopsy was attempted, a definitive diagnosis could not be made. Because the possibility of lung malignancy could not be ruled out, thoracoscopic wedge resection of the middle lobe was performed. The intraoperative pathological diagnosis revealed carcinoma of the lungs and we performed middle lobectomy under complete video-assisted thoracoscopic surgery. A histopathological examination demonstrated an adenoid cystic carcinoma with a characteristic cribriform structure.
我们在此报告一例非常罕见的周围型肺腺样囊性癌病例。一名77岁女性因大动脉炎综合征、糖尿病和高脂血症就诊于家庭医生。针对大动脉炎综合征进行的胸部计算机断层扫描随访显示右肺中叶有一个结节。尽管尝试了经支气管肺活检，但未能做出明确诊断。由于不能排除肺恶性肿瘤的可能性，遂行胸腔镜下右肺中叶楔形切除术。术中病理诊断为肺癌，随后我们在完全电视辅助胸腔镜手术下行右肺中叶切除术。组织病理学检查显示为具有特征性筛状结构的腺样囊性癌。
