Yamada Katsuo, Kawasumi Yuta, Yasuda Ayuko, Seki Yukio, Ogawa Kenji
Kekkaku. 2016 Sep;91(6):541-544.
We report five cases of surgical treatment for pulmonary nontuberculous mycobac- teriosis (NTM) resisting chemotherapy in twenties. Of the five, one was male and four were female. They had cavitary or nodular lesion in their lung. After chemotherapy, partial resection or lobectomy was performed.
Though postoperative chemotherapy had contin- ued for only 6 months or 1 year, there was no relapse/recurrence at more than 86 months in average after surgery. Consideration. In younger patients, NTM lesions in the lung are sometimes more localized than senior patients, therefore they can be removed as a smaller portion by the operation, and we can sometimes keep more pulmonary function of the patient.
Surgical treatment for twenties patients with pulmonary nontuberculous mycobacteriosis resisting chemo- therapy should be carried out aggressively at an early stage to resect a smaller portion of the lung and also decrease relapse/ recurrence after surgery.
我们报告了5例20多岁的耐化疗的肺部非结核分枝杆菌病（NTM）的手术治疗病例。5例中，男性1例，女性4例。他们肺部有空洞或结节性病变。化疗后，进行了部分切除或肺叶切除术。
尽管术后化疗仅持续了6个月或1年，但术后平均超过86个月无复发/再发。思考。在年轻患者中，肺部NTM病变有时比老年患者更局限，因此手术时可切除较小部分，有时能保留患者更多的肺功能。
对于20多岁耐化疗的肺部非结核分枝杆菌病患者，应尽早积极进行手术治疗，以切除较小部分肺组织，并减少术后复发/再发。
