Tanaka Ayaka, Akamatsu Hiroaki, Kawabata Hiroki, Ariyasu Hiroyuki, Nakamura Yasushi, Yamamoto Nobuyuki
Third Department of Internal Medicine Wakayama Medical University Wakayama Japan.
Third Department of Internal Medicine Wakayama Medical University Wakayama Japan; Respiratory Division Minami-Wakayama Medical Center Wakayama Japan.
Respirol Case Rep. 2015 Dec 8;4(1):10-2. doi: 10.1002/rcr2.139. eCollection 2016 Mar.
A 45-year-old Japanese woman complained of uncontrolled hypertension and face swelling. She was diagnosed with Cushing's syndrome with secretion of adrenocorticotropic hormone. Fluorodeoxyglucose positron emission tomography-computed tomography revealed a 2 × 2 cm mass in her left lung, with high standardized maximum uptake value. She underwent bronchoscopy with endobronchial ultrasound via a guide-sheath. Surgical resection of her left upper lung was performed, and pathological examination showed a typical carcinoid tumor. After lung resection, she recovered from her subjective symptoms. Diagnosis of peripheral carcinoid tumor of the lung is generally difficult. Here, we introduce a case of peripheral pulmonary carcinoid tumor diagnosed by endobronchial-ultrasound-guided bronchoscopy.
一名45岁的日本女性主诉高血压控制不佳且面部肿胀。她被诊断为促肾上腺皮质激素分泌型库欣综合征。氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描显示其左肺有一个2×2厘米的肿块,标准化最大摄取值较高。她接受了经引导鞘的支气管镜检查及支气管内超声检查。对其左上肺进行了手术切除,病理检查显示为典型类癌肿瘤。肺切除术后,她的主观症状得到缓解。肺外周类癌肿瘤的诊断通常较为困难。在此,我们介绍一例通过支气管内超声引导支气管镜检查诊断的肺外周类癌肿瘤病例。