Giller Dmitry B, Giller Boris D, Severova Lyudmila P, Berezovsky Yuri S, Martel Ivan I
M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery, Federal State Autonomous Educational Institution of Higher Education, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, 4 Dostoevsky Street, Building 2, 127473, Russia.
Central Scientific Research Institute for Tuberculosis, Ministry of Education and Science of the Russian Federation, Moscow, 2 Yauzskaya Alley Str., 107564, Russia.
Respir Med Case Rep. 2020 Aug 26;31:101198. doi: 10.1016/j.rmcr.2020.101198. eCollection 2020.
Bullae formation on a cystic background is still not described thoroughly. This clinical case aims to improve this situation and describes the combination of multiple cysts with vascular malformation, giant bullae (2/3 of the left hemithorax and 1/2 of the right hemithorax) with suppuration in a 50-year-old smoker. Before surgery, treatment for chronic obstructive lung disease (COPD) was administered without a positive outcome. Bullectomy was subsequently conducted and histopathological data revealed vascular malformation causing microinfarctions in pulmonary parenchyma, cystic degeneration and tuberculosis. Although it became possible to establish a final diagnosis due to histology, the need for surgical treatment was clear from clinical and x-ray evidence. Such instances as the one presented in this case report should assist with improving our knowledge about bullae in combination with cysts in the lungs because they provide additional context in a clinical setting.
囊性背景下大疱的形成仍未得到充分描述。本临床病例旨在改善这种情况，并描述了一名50岁吸烟者中多个囊肿与血管畸形、巨大肺大疱（左半胸的2/3和右半胸的1/2）合并化脓的情况。手术前，给予了慢性阻塞性肺疾病（COPD）治疗，但未取得阳性结果。随后进行了肺大疱切除术，组织病理学数据显示血管畸形导致肺实质微梗死、囊性变和肺结核。尽管通过组织学得以做出最终诊断，但从临床和X线证据来看，手术治疗的必要性是明确的。本病例报告中呈现的此类病例应有助于增进我们对肺部大疱合并囊肿的认识，因为它们在临床环境中提供了更多背景信息。
