Katano Takuma, Hagiwara Eri, Arai Hiromasa, Sato Midori, Yamaya Takafumi, Tajiri Michihiko, Ogura Takashi
Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Department of General Thoracic Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Respir Med Case Rep. 2020 Jan 20;29:101001. doi: 10.1016/j.rmcr.2020.101001. eCollection 2020.
A 68-year-old man who was on treatment for pulmonary complex complained a worsening of sputum. Although he archived negative sputum culture two months ago, sputum culture tests revealed the newly isolation of repeatedly. Chest computed tomography showed newly-appeared extra-pulmonary mass lesion in contact with a cyst at the bottom of his right lung. From the results of contrast-enhanced magnetic resonance imaging, we first suspected loculated pleural effusion due to infection. A thoracoscopic examination was performed as the right pneumothorax developed, and the pleural lesion was successfully resected and diagnosed as an intrathoracic desmoid tumor. Intrathoracic desmoid tumor is very rare, and this is the first report of a case with pulmonary disease.
一名正在接受肺部复杂疾病治疗的68岁男性主诉痰液情况恶化。尽管他两个月前痰液培养结果为阴性，但此次痰液培养检查多次显示有新的分离菌。胸部计算机断层扫描显示右肺底部与一个囊肿相邻处新出现了肺外肿块病变。根据增强磁共振成像结果，我们首先怀疑是感染导致的局限性胸腔积液。由于出现了右侧气胸，遂进行了胸腔镜检查，胸膜病变被成功切除，诊断为胸内硬纤维瘤。胸内硬纤维瘤非常罕见，这是首例伴有肺部疾病的病例报告。
