Abe Masahiro, Yatsuyanagi Eiji, Sato Keisuke
Department of General Thoracic Surgery, National Obihiro Hospital, Obihiro, Japan.
Kyobu Geka. 2021 Feb;74(2):160-163.
A 60-year-old woman with a lung tumor was admitted to our hospital for surgical treatment. Chest computed tomography (CT) showed a 23×21×20 mm nodule in the right lower lobe. Although the lung nodule was thought to be benign due to CT image findings, its size was apparently larger than that of CT image at four years ago. So, we decided to resect the nodule and performed a partial lung resection under video-assisted thoracic surgery. The tumor was histopathologically diagnosed as a paraganglioma and scored 0 point in pheochromocytoma of the adrenal gland score( PASS). Since no abnormal uptake that indicates primary site was not found on fluorodeoxyglucose-positron emission tomography (FDGPET) performed after surgery, we diagnosed this tumor as a primary pulmonary paraganglioma. She is still alive without recurrence.
一名患有肺部肿瘤的60岁女性因手术治疗入院。胸部计算机断层扫描(CT)显示右下叶有一个23×21×20毫米的结节。尽管根据CT图像表现该肺结节被认为是良性的,但其大小明显大于四年前的CT图像。因此,我们决定切除该结节,并在电视辅助胸腔镜手术下进行了部分肺切除术。肿瘤经组织病理学诊断为副神经节瘤,在肾上腺嗜铬细胞瘤评分(PASS)中得0分。由于术后进行的氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)未发现指示原发部位的异常摄取,我们将此肿瘤诊断为原发性肺副神经节瘤。她仍然健在,无复发。