Yamanaka Sumitaka, Yoshimatsu Takashi, Miyata Takeaki, Higa Hanae
Department of Thoracic Surgery Tokyo Shinagawa Hospital Tokyo Japan.
Department of Thoracic Surgery Fukuoka Wajiro Hospital Fukuoka Japan.
Respirol Case Rep. 2020 Sep 3;8(7):e0657. doi: 10.1002/rcr2.657. eCollection 2020 Oct.
A 51-year-old man was referred to our hospital, with a dumbbell-shaped nodule measuring 40 mm in the right upper lobe of the lung. He was a current smoker with diabetes mellitus and bronchial asthma. The transbronchial biopsy was performed. However, definitive diagnosis was not obtained from the excised specimens. Bacterial culture of bronchial lavage fluid also yielded negative results, including for tuberculosis. After eight months of observation, the tumour had slightly increased in size. Surgery was planned to resect the tumour for definitive diagnosis. Because of the size of the tumour, a lobectomy of the lung was scheduled with the patient's consent. Four small incisions, each less than 1.2 cm long, were made in the chest wall for thoracoscopic surgery. To remove the specimen, we made a 3-cm longitudinal incision 1 cm below the xiphisternal joint. The patient complained of no chest pain after surgery. The post-operative course was uneventful.
一名51岁男性被转诊至我院，其右肺上叶有一个哑铃状结节，大小为40毫米。他是一名现吸烟者，患有糖尿病和支气管哮喘。进行了经支气管活检。然而，从切除的标本中未获得明确诊断。支气管灌洗液的细菌培养结果也为阴性，包括结核杆菌。经过八个月的观察，肿瘤大小略有增加。计划进行手术切除肿瘤以明确诊断。由于肿瘤大小，经患者同意安排了肺叶切除术。在胸壁上做了四个小于1.2厘米长的小切口用于胸腔镜手术。为取出标本，在剑突下关节下方1厘米处做了一个3厘米的纵向切口。患者术后无胸痛主诉。术后过程顺利。
