Sasai T, Sakakibara S, Kaji M, Yamada Y, Nitta T, Yamate N, Tanaka S, Shouji T
Kyobu Geka. 1989 Feb;42(2):138-40.
A case of a foreign body tumor resembling fungus ball pre-operatively diagnosed by bronchofiberscopic examination is reported. A 54-year-old male was referred with a complaint of fever. Chest X-ray and tomography showed a mass shadow with meniscus sign resembling fungus ball in the right lower lung field. Trans-bronchial lung biopsy revealed sulfur-granule of actinomycosis. In spite of local injection of sensitive antibiotics (ABPC) once a week for two months the mass shadow remained unchanged on X-ray. Bronchofiberscopic examination was performed again and a small piece of fibrous substance was obtained, which had been left in previous operation done 17 years before. Re-thoracotomy assured that the mass was a foreign body tumor caused by a gauze.
报告了一例术前经纤维支气管镜检查诊断为类似曲菌球的异物肿瘤病例。一名54岁男性因发热前来就诊。胸部X线和断层扫描显示右下肺野有一个伴有新月征的肿块阴影，类似曲菌球。经支气管肺活检发现放线菌病的硫黄颗粒。尽管每周局部注射敏感抗生素（氨卞青霉素）一次，持续两个月，但X线检查显示肿块阴影无变化。再次进行纤维支气管镜检查，获取了一小片纤维物质，其为17年前一次手术遗留。再次开胸证实肿块是由一块纱布引起的异物肿瘤。
