黏液嵌塞酷似多发性转移性肺癌。

Huang Yi-Chih, Chang Hsu-Chao, Lee Yi-Hsin, Yang Mei-Chen

Division of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

Tzu Chi Med J. 2020 Jul 30;33(2):195-197. doi: 10.4103/tcmj.tcmj_74_20. eCollection 2021 Apr-Jun.

The most common etiology of multiple pulmonary nodules is metastatic lung cancer. Although benign etiologies have been reported, mucoid impaction less commonly presents as multiple pulmonary nodules. Herein, we report the case of an 81-year-old demented man who presented with multiple pulmonary nodules due to mucoid impaction. Chest radiographs revealed rapid resolution after tracheostomy and adequate mucus clearance. We suggest that mucoid impaction may present as multiple pulmonary nodules mimicking multiple metastatic lung cancer.

多发性肺结节最常见的病因是转移性肺癌。虽然已有良性病因的报道，但黏液嵌塞较少表现为多发性肺结节。在此，我们报告一例81岁患有痴呆症的男性，其因黏液嵌塞出现多发性肺结节。胸部X线片显示气管切开术和充分的黏液清除后病情迅速缓解。我们认为黏液嵌塞可能表现为多发性肺结节，酷似多发性转移性肺癌。