Kang Jianxiong, Wang Mu, Hua Peiyan, Wang Bin
Department of Thoracic of the Second Hospital of Jilin University, Changchun, Jilin, China.
Front Oncol. 2023 Oct 4;13:1264871. doi: 10.3389/fonc.2023.1264871. eCollection 2023.
With the widespread use of low-dose chest Computed Tomography (CT), lung nodules are being increasingly detected. Common pulmonary conditions such as lung adenocarcinoma, lung squamous cell carcinoma, and tuberculosis are typically diagnosable through imaging examinations. Nevertheless, when multiple types of lung cancer are combined with other benign tumors, how can an accurate diagnosis be made? In this report, we present a rare case of a patient with the simultaneous occurrence of lung adenocarcinoma, lung squamous cell carcinoma, pulmonary tuberculosis, and pulmonary hamartoma, which has not been previously reported. This patient underwent surgical intervention in the Department of Thoracic Surgery at the Second Hospital of Jilin University and has now fully recovered and been discharged. The patient's preoperative positron emission tomography-CT(PET-CT)results did not align with the postoperative pathological diagnosis. The imaging findings were atypical, and the pathological diagnosis was exceptionally rare. We share this case report to contribute to the accumulation of clinical experience.
随着低剂量胸部计算机断层扫描(CT)的广泛应用,肺结节的检出率越来越高。常见的肺部疾病,如肺腺癌、肺鳞状细胞癌和肺结核,通常可通过影像学检查进行诊断。然而,当多种类型的肺癌与其他良性肿瘤合并存在时,如何进行准确诊断呢?在本报告中,我们呈现了一例罕见病例,该患者同时患有肺腺癌、肺鳞状细胞癌、肺结核和肺错构瘤,此前未见相关报道。该患者在吉林大学第二医院胸外科接受了手术治疗,现已完全康复并出院。患者术前的正电子发射断层扫描-CT(PET-CT)结果与术后病理诊断不符。影像学表现不典型,病理诊断极为罕见。我们分享此病例报告,以促进临床经验的积累。