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一名青少年出现全肺萎陷。

Complete lung collapse in a young adolescent.

作者信息

Ahmed T H, Esmail A, Calligaro G, Dheda K

机构信息

Division of Pulmonology, Department of Medicine, University of Cape Town Lung Institute and Groote Schuur Hospital, Cape Town, South Africa.

出版信息

Afr J Thorac Crit Care Med. 2018 Jun 21;24(2). doi: 10.7196/SARJ.2018.v24i2.209. eCollection 2018.

DOI:10.7196/SARJ.2018.v24i2.209
PMID:34541501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8432924/
Abstract

Bronchial carcinoid tumours (BCTs) arise from the neuroendocrine cells of the bronchial epithelium known as Kulchitsky cells. They represent ~25% of all carcinoid tumours, usually have a central distribution, and present with features of bronchial obstruction. They are the most common lung malignancy in children. Here we report the case of a 14-year-old girlwith chronic respiratory symptoms and left lung collapse due to bronchial carcinoid. The differential diagnosis of segmental, lobar or total lung collapse in a young person also includes mucus plugging or foreign body aspiration.

摘要

支气管类癌肿瘤(BCTs)起源于支气管上皮的神经内分泌细胞,即库尔契茨基细胞。它们约占所有类癌肿瘤的25%,通常分布于中央,表现为支气管阻塞的特征。它们是儿童中最常见的肺部恶性肿瘤。在此,我们报告一例14岁女孩因支气管类癌出现慢性呼吸道症状和左肺萎陷的病例。年轻人节段性、大叶性或全肺萎陷的鉴别诊断还包括黏液阻塞或异物吸入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ff/8432924/1f2b41ee6d97/AJTCCM-24-2-209-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ff/8432924/1f2b41ee6d97/AJTCCM-24-2-209-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ff/8432924/1f2b41ee6d97/AJTCCM-24-2-209-fig1.jpg

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本文引用的文献

1
Endobronchial Carcinoid Tumor Totally Occluding the Left Main Bronchus Without Producing Symptoms of Bronchial Obstruction.完全阻塞左主支气管但未产生支气管阻塞症状的支气管内类癌肿瘤。
In Vivo. 2017 Sep-Oct;31(5):1023-1025. doi: 10.21873/invivo.11164.
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The Diagnosis and Treatment of Bronchopulmonary Carcinoid.支气管肺类癌的诊断与治疗
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肺神经内分泌(类癌)肿瘤:欧洲神经内分泌肿瘤学会专家共识和典型与非典型肺类癌最佳实践建议。
Ann Oncol. 2015 Aug;26(8):1604-20. doi: 10.1093/annonc/mdv041. Epub 2015 Feb 2.
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Prognostic model of survival for typical bronchial carcinoid tumours: analysis of 1109 patients on behalf of the European Association of Thoracic Surgeons (ESTS) Neuroendocrine Tumours Working Group.典型支气管类癌肿瘤生存的预后模型:代表欧洲胸外科医师协会(ESTS)神经内分泌肿瘤工作组对1109例患者的分析。
Eur J Cardiothorac Surg. 2015 Sep;48(3):441-7; discussion 447. doi: 10.1093/ejcts/ezu495. Epub 2015 Jan 5.
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Chest. 2001 Jun;119(6):1647-51. doi: 10.1378/chest.119.6.1647.
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Ann Thorac Surg. 1998 May;65(5):1410-4. doi: 10.1016/s0003-4975(98)00083-6.
10
Pulmonary and thymic carcinoid tumors.肺和胸腺类癌肿瘤。
World J Surg. 1996 Feb;20(2):189-95. doi: 10.1007/s002689900029.