Tamaki Masafumi, Nakamura Koji, Yamakawa Toshiki
Department of Surgery, Kagawa Prefectural Shirotori Hospital, Higashikagawa, Japan.
Kyobu Geka. 2020 Feb;73(2):153-155.
A 73-year-old man was admitted to our hospital because of fever. A chest computed tomography (CT) scan revealed a 10-cm-sized irregular mass with air-fluid level in the left lower lobe, and sputum cytology revealed squamous cell carcinoma, which was diagnosed as a giant squamous cell carcinoma with intratumoral abscess. Later, the empyema developed and drainage was performed for empyema and intratumoral abscess. Two weeks later, left lower lobectomy and lymph node dissection were performed by posterolateral thoracotomy. After surgery, there were no serious complications or relapse of empyema.
一名73岁男性因发热入住我院。胸部计算机断层扫描(CT)显示左肺下叶有一个10厘米大小的不规则肿块,伴有气液平面,痰细胞学检查显示为鳞状细胞癌,诊断为伴有瘤内脓肿的巨大鳞状细胞癌。后来,脓胸形成,对脓胸和瘤内脓肿进行了引流。两周后,通过后外侧开胸进行了左肺下叶切除术和淋巴结清扫术。术后未出现严重并发症,脓胸也未复发。