Ishida Hisao, Murasawa Masaki, Yoshizawa Masatoshi, Hoshino Taiki, Hanawa Takeshi, Kuwabara Masayoshi
Department of General Thoracic Surgery, The Second Okamoto General Hospital, Uji, Japan.
Kyobu Geka. 2015 Sep;68(10):867-70.
Three cases of pulmonary actinomycosis have been postoperatively diagnosed in our hospital in the past 3 years. All the cases were preoperatively difficult to differentiate from lung cancer, and all were diagnosed in men. One of the patients was diagnosed on the basis of clinical symptoms, while the other 2 patients were diagnosed during the treatment and follow-up of other diseases. On radiological examination, 2 patients showed mass-like shadows, and the 3rd showed a cavitary lesion; fluorodeoxyglucose (FDG) -positron emission tomography showed high FDG accumulation in all the patients. One of the patients was pathologically suspected with lung cancer on transbronchial lung biopsy. Right upper lobectomy was performed in 2 patients, and right lower lobectomy in 1. One of the patients who underwent right upper lobectomy, also received chest wall resection because of the perioperative finding of chest wall invasion of lung cancer. Clinically, all the cases were preoperatively diagnosed as lung cancer.
在过去3年里，我院术后诊断出3例肺放线菌病。所有病例术前均难以与肺癌鉴别，且均为男性。其中1例患者根据临床症状确诊，另外2例患者在其他疾病的治疗和随访过程中确诊。影像学检查显示，2例患者呈现肿块样阴影，第3例显示有空洞性病变；氟脱氧葡萄糖（FDG）-正电子发射断层扫描显示所有患者的FDG摄取均增高。其中1例患者经支气管肺活检病理检查疑似肺癌。2例行右上叶切除术，1例行右下叶切除术。1例接受右上叶切除术的患者，因术中发现肺癌侵犯胸壁，还接受了胸壁切除术。临床上，所有病例术前均被诊断为肺癌。
