Miura Hiroyuki, Miura Jun, Goto Shinichi, Tachibana Keisei, Yamamoto Tomoko
Department of Thoracic Surgery Akiru Municipal Medical Center Akiruno Japan.
Department of Surgery Kyorin University School of Medicine Mitaka Japan.
Respirol Case Rep. 2021 Sep 23;9(10):e0851. doi: 10.1002/rcr2.851. eCollection 2021 Oct.
Our report presents the smallest bronchial carcinoid thus far associated with peripheral squamous cell carcinoma. A 79-year-old Japanese man presented with an abnormal shadow on chest radiography. Chest computed tomography revealed an ill-defined nodule at the left S9a area without lymph node involvement. At the time of bronchoscopy, a nodule of ~1 mm in diameter with a smooth surface was observed at the orifice of the left B8. Left lower lobectomy was performed. Pathologically, the S9a tumour was keratinizing squamous cell carcinoma with surgical stage IA3, and the left B8 tumour was a typical bronchial carcinoid. The patient was alive without recurrence 2 years after the surgery. Cases of combined carcinoid and lung cancer are rare. It may be possible to identify bronchial carcinoids early by careful observation of the bronchi during bronchoscopy for peripheral neoplastic lesions.
我们的报告展示了迄今为止与外周鳞状细胞癌相关的最小支气管类癌。一名79岁的日本男性在胸部X线检查时发现异常阴影。胸部计算机断层扫描显示左S9a区有一个边界不清的结节,无淋巴结受累。在支气管镜检查时,在左B8开口处观察到一个直径约1毫米、表面光滑的结节。进行了左下叶切除术。病理检查显示,S9a肿瘤为角化型鳞状细胞癌,手术分期为IA3期,左B8肿瘤为典型支气管类癌。该患者术后2年存活且无复发。类癌与肺癌合并的病例很少见。在支气管镜检查外周肿瘤性病变时,通过仔细观察支气管,有可能早期发现支气管类癌。