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支气管内错构瘤;慢性咳嗽的一种罕见结构病因。

Endobronchial hamartoma; a rare structural cause of chronic cough.

作者信息

Ahmed Saman, Arshad Ayesha, Mador M Jeffery

机构信息

Division of Pulmonary and Critical Care and Sleep Medicine, University at Buffalo, Western New York Veterans Administration Healthcare System, Buffalo, NY, USA.

Department of Pathology, University at Buffalo, Western New York Veterans Administration Healthcare System, Buffalo, NY, USA.

出版信息

Respir Med Case Rep. 2017 Aug 24;22:224-227. doi: 10.1016/j.rmcr.2017.08.019. eCollection 2017.

Abstract

Pulmonary hamartomas are rare benign tumors consisting of multiple mesenchymal cell lines like cartilage, bone and fat. We discuss an interesting case of a 53-year-old male patient, who was referred to our clinic for persistent cough. Chest X-ray revealed a left suprahilar density associated with plate like atelectasis, which on chest CT was found to be a densely calcified nodule, causing narrowing of the left upper lobe (LUL) bronchus with calcified bilateral hilar lymph nodes. A bronchoscopy revealed a smooth endobronchial mass with calcification, which was removed. Histopathology revealed pulmonary hamartoma.

摘要

肺错构瘤是一种罕见的良性肿瘤,由软骨、骨和脂肪等多种间充质细胞系组成。我们讨论了一例有趣的病例,一名53岁男性患者因持续性咳嗽转诊至我院。胸部X线显示左上肺门密度影伴片状肺不张,胸部CT发现为致密钙化结节,导致左肺上叶支气管狭窄并伴有双侧肺门淋巴结钙化。支气管镜检查发现一个带钙化的光滑支气管内肿物,予以切除。组织病理学检查显示为肺错构瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168a/5587872/d364e0147bc9/gr1.jpg

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