Ishikawa Masashi, Sumitomo Shinichi, Imamura Naoto, Nishida Tomoki, Mineura Katsutaka, Ono Kazuo
Department of Thoracic surgery, Wakayama Red Cross Hospital, Wakayama, Japan
Department of Thoracic surgery, Wakayama Red Cross Hospital, Wakayama, Japan.
J Surg Case Rep. 2016 Aug 25;2016(8):rjw144. doi: 10.1093/jscr/rjw144.
We report five serial cases of ciliated muconodular papillary tumor (CMPT) of the lung. CMPT is characterized as a low-grade malignant tumor with ciliated columnar epithelial cells combined with goblet cells, typically presenting as peripheral lung tumor and often causing diagnostic or therapeutic problems. In the cases described here, all patients presented with abnormal chest shadow but no definitive symptoms. Although all tumors were peripheral, computed tomography (CT) revealed various radiographic findings including small lung nodules, ground-grass opacity or irregular-shaped consolidation. All patients underwent complete surgical resection, and no recurrence has been noted over follow-up. In all cases, pathological findings included columnar ciliated cells with mucus lakes, consistent with the immunohistochemical staining. As there are few reports on this tumor entity, which has not yet received a WHO classification, we believe our case series may be of interest.
我们报告了5例肺纤毛黏液结节状乳头状肿瘤(CMPT)的连续病例。CMPT的特征是一种低度恶性肿瘤,由纤毛柱状上皮细胞和杯状细胞组成,通常表现为周围型肺肿瘤,常引起诊断或治疗方面的问题。在此描述的病例中,所有患者均表现为胸部阴影异常,但无明确症状。尽管所有肿瘤均为周围型,但计算机断层扫描(CT)显示出各种影像学表现,包括肺小结节、磨玻璃影或不规则形实变。所有患者均接受了完整的手术切除,随访期间未发现复发。所有病例的病理结果均包括有黏液湖的柱状纤毛细胞,与免疫组化染色结果一致。由于关于这个尚未被世界卫生组织分类的肿瘤实体的报道很少,我们认为我们的病例系列可能会引起关注。