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[肺非结核分枝杆菌病难以与子宫颈癌肺转移瘤吻合口处局部复发相鉴别:一例报告]

[Pulmonary Nontuberculous Mycobacteriosis Difficult to Differentiate from Local Recurrence of the Metastatic Lung Tumor of the Uterine Cervix Cancer at the Staple-line:Report of a Case].

作者信息

Matsui Hiroshi, Utsumi Takahiro, Maru Natsumi, Taniguchi Yohei, Saito Tomohito, Hino Haruaki, Murakawa Tomohiro

机构信息

Department of Thoracic Surgery, Kansai Medical University, Hirakata, Japan.

出版信息

Kyobu Geka. 2021 Dec;74(13):1132-1135.

PMID:34876547
Abstract

A 70-year-old woman underwent right S6 segmentectomy and left S6 partial resection for lung metastasis of uterine cervix cancer. Although she received adjuvant chemotherapy, chest computed tomography revealed a new pulmonary nodule on the staple stump of the right lung. We diagnosed the tumor as local recurrence at the stump and planned to continue chemotherapy. However, the size of the tumor increased, and we performed right middle and lower lobectomy. Based on the pathological and bacteriological examinations, an epithelioid cell granuloma infected by Mycobacterium avium was established.

摘要

一名70岁女性因子宫颈癌肺转移接受了右S6段切除术和左S6部分切除术。尽管她接受了辅助化疗,但胸部计算机断层扫描显示右肺吻合钉残端出现一个新的肺结节。我们将该肿瘤诊断为残端局部复发,并计划继续化疗。然而,肿瘤大小增加,于是我们进行了右中、下叶切除术。根据病理和细菌学检查,确诊为鸟分枝杆菌感染所致的上皮样细胞肉芽肿。

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