Division of Thoracic Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Department of Pathology, Medical University of Vienna, Vienna, Austria.
Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1157-1159. doi: 10.1093/icvts/ivab292.
Large solitary cystic lesions are a rare finding, and their differential diagnosis includes cystic airspaces associated with lung cancer, congenital pulmonary airway malformations and pneumatoceles. Here, we report 3 consecutive patients who presented with a large solitary pulmonary cyst on chest computed tomography. All underwent surgical resection, and the histopathological findings were different in all 3 cases. In one patient, a very rare finding of squamous cell carcinoma arising from the cystic lesion in the left lower lobe was confirmed. Therefore, in carefully selected cases, pulmonary cysts should be resected based on the potential risk for recurrent infection and the development of malignancy.
大的单发囊性病变较为罕见，其鉴别诊断包括与肺癌相关的囊性气腔、先天性肺气道畸形和肺气囊。在此，我们报告了 3 例连续患者，他们在胸部计算机断层扫描中表现为左肺下叶大的单发肺囊肿。所有患者均接受了手术切除，且 3 例的组织病理学检查结果均不同。在 1 例患者中，明确了一个非常罕见的发现，即左肺下叶囊性病变中发生了鳞状细胞癌。因此，在仔细选择的情况下，应根据复发性感染和恶性肿瘤发展的潜在风险切除肺囊肿。
