经支气管肺泡灌洗诊断的细支气管肺泡癌

[Bronchioloalveolar carcinoma diagnosed by bronchoalveolar lavage].

作者信息

Itoh H, Yagi K, Dazai Y, Sueda S, Bandoh F, Katoh T, Koyama T, Yoshida R

机构信息

Dept. of Internal Med. & Radiology, Yawatahama City Hospital.

出版信息

Gan No Rinsho. 1987 Dec;33(15):1901-5.

PMID:2828709

Abstract

A case of bronchioloalveolar carcinoma of the lung is reported. A 63-year-old man identified during a chest mass-survey program, came to our hospital for a precise examination. He had no subjective complaints though his plain chest X-ray film showed a diffuse alveolar pattern in the bilateral hilar regions mimicking a butterfly shadow. Further, cytological examinations of both the sputa and specimens from brushings obtained on bronchoscopy failed to demonstrate malignant cells, and only a cytological examination of the fluid obtained by bronchoalveolar lavage (BAL) revealed the presence of a malignancy. Thus, BAL would seem to be a simple and reasonable method for the detection of suspected malignant cells in bronchioloalveolar carcinoma.

摘要

报告一例肺细支气管肺泡癌。一名63岁男性在胸部肿块筛查项目中被发现，随后到我院进行详细检查。尽管他的胸部X线平片显示双侧肺门区域有弥漫性肺泡样改变，类似蝴蝶影，但他并无主观不适。此外，痰液及支气管镜刷检标本的细胞学检查均未发现恶性细胞，仅支气管肺泡灌洗（BAL）液的细胞学检查发现了恶性肿瘤细胞。因此，BAL似乎是检测细支气管肺泡癌可疑恶性细胞的一种简单且合理的方法。