Kelkel E, Brambilla E, Blanc-Jouvan F, Brambilla C
Service de Pneumologie, C.H.R.G., Grenoble.
Rev Mal Respir. 1988;5(2):147-50.
The relation between bronchial cancer and fibrous scars still remains controversial. We report, with regard to a typical case, the histological arguments for this hypothesis in the knowledge that only a clinical history and above all a radiographic progress will evoke the carcinomatous transformation. We report on the diagnostic peculiarities, the evolution, the therapeutic approach and histogenetics of bronchial cancers developing on a scar. This association and the interest of pursuing these investigations in the presence of evocative clinical or radiographic anomalies enable a better understanding of the natural history of bronchial cancer.
支气管癌与纤维瘢痕之间的关系仍存在争议。关于一个典型病例,我们报告支持这一假说的组织学依据,因为只有临床病史,尤其是影像学进展才能提示癌变。我们报告瘢痕部位发生的支气管癌的诊断特点、病程、治疗方法及组织发生。这种关联以及在出现提示性临床或影像学异常时进行这些研究的意义,有助于更好地理解支气管癌的自然史。