Doi Takefumi, Sakamoto Toshihiko
Department of General Thoracic Surgery, Japanese Red Cross Kobe Hospital, Kobe, Japan.
Kyobu Geka. 2017 Mar;70(3):227-230.
A 74-year-old woman was referred to our hospital to investigate a right apical segment (S1)nodule which was increasing gradually. Chest computed tomography (CT) scan showed three lesions in right S1, posterior segment(S2) and superior segment(S6). S6 lesion was a thin-walled cavity enlarging gradually with same appearance. The S1 nodule was diagnosed as adenocarcinoma by CT guided biopsy. Since the possibility of lung cancer couldn't be denied for S6 lesion, right upper lobectomy and S6 segmentectomy with mediastinal lymph node dissection was performed. A postoperative pathology revealed all of 3 tumors as lung adenocarcinoma and confirmed as synchronous triple primary lung adenocarcinomas.
一名74岁女性因右肺尖段（S1）结节逐渐增大而被转诊至我院。胸部计算机断层扫描（CT）显示右肺S1、后段（S2）和上段（S6）有三个病灶。S6病灶为薄壁空洞，外观逐渐增大。S1结节经CT引导下活检诊断为腺癌。由于S6病灶不能排除肺癌的可能性，遂行右上叶切除术及S6段切除术并纵隔淋巴结清扫术。术后病理显示所有3个肿瘤均为肺腺癌，确诊为同步性三原发性肺腺癌。
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