一例表现为囊性病变和复发性气胸的肺鳞状细胞癌病例。

Aldaghlawi Fadi, Von Holzen Urs, Li Liang, Hadid Walid

Department of Medicine, Indiana University School of Medicine-South Bend, South Bend, IN, USA.

Department of Surgical Oncology, Indiana University School of Medicine-South Bend, USA.

Respir Med Case Rep. 2021 Mar 9;33:101382. doi: 10.1016/j.rmcr.2021.101382. eCollection 2021.

We report a rare case of a 70-year-old male with recurrent pneumothoraces within one year treated with intermittent insertion of chest tube on each occasion. Diagnostic testing was notable for a cystic lesion in the left lung that was initially interpreted as bulla on chest x-ray and chest computed tomographic scan. Due to thickening and nodularity changes of the thin wall of the cystic lesion, the patient underwent left upper lobectomy. Pathology showed poorly differentiated squamous cell carcinoma of the cystic lesion wall. This case emphasizes the importance of monitoring pulmonary cystic lesions especially in patients with a history of smoking and emphysema.

我们报告了一例罕见病例，一名70岁男性在一年内反复发生气胸，每次均采用间歇性插入胸管进行治疗。诊断检查发现左肺有一个囊性病变，最初在胸部X线和胸部计算机断层扫描中被解释为肺大疱。由于囊性病变薄壁的增厚和结节状改变，患者接受了左上肺叶切除术。病理显示囊性病变壁为低分化鳞状细胞癌。该病例强调了监测肺囊性病变的重要性，尤其是在有吸烟史和肺气肿的患者中。