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1例经胸壁粗针活检后发生乳糜胸的肺腺癌病例。

A case of lung adenocarcinoma developing chylothorax after transthoracic Tru-cut biopsy.

作者信息

Torun Şerife, Kesim Çağrı, Kılıç Mehmet Dalokay

机构信息

Department of Pulmonary Diseases, Başkent University Konya Practice and Research Center, Konya, Türkiye.

Department of Radiology, Division of Interventional Radiology, Başkent University Konya Application and Research Center, Konya, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Nov 6;32(1):101-104. doi: 10.5606/tgkdc.dergisi.2024.22556. eCollection 2024 Jan.

DOI:10.5606/tgkdc.dergisi.2024.22556
PMID:38545351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10964302/
Abstract

Chylothoraces are mostly secondary to trauma and tumors, and rarely idiopathic. Chylothoraces secondary to lung tumors are mostly seen postoperatively. In this article, we, for the first time, present massive chylothorax developing after diagnostic transthoracic Tru-cut biopsy in a lung adenocarcinoma case. The patient was successfully treated with drainage and octreotide. In conclusion, it should be kept in mind that chylothorax can be also seen as a complication after interventional biopsy procedures; therefore, the patients should be followed carefully.

摘要

乳糜胸大多继发于创伤和肿瘤,很少为特发性。继发于肺部肿瘤的乳糜胸多见于术后。在本文中,我们首次报道了1例肺腺癌患者在经胸壁细针穿刺活检术后发生大量乳糜胸的病例。该患者经胸腔闭式引流及奥曲肽治疗后痊愈。总之,应牢记介入性活检术后也可能出现乳糜胸这一并发症,因此应对患者进行密切随访。

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本文引用的文献

1
Chylothorax after Lung Cancer Surgery: A Key Factor Influencing Prognosis and Quality of Life.肺癌手术后乳糜胸:影响预后和生活质量的关键因素。
Ann Thorac Cardiovasc Surg. 2020 Dec 20;26(6):303-310. doi: 10.5761/atcs.ra.20-00039. Epub 2020 Jul 2.
2
Right chylothorax after thoracic sympathicotomy: A very rare case.胸交感神经切断术后右侧乳糜胸:1例极其罕见的病例。
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):484-486. doi: 10.5606/tgkdc.dergisi.2018.15313. eCollection 2018 Jul.
3
The incidence and management of postoperative chylothorax after pulmonary resection and thoracic mediastinal lymph node dissection.
肺切除和胸纵隔淋巴结清扫术后乳糜胸的发生率及处理。
Ann Thorac Surg. 2014 Jul;98(1):232-5; discussion 235-7. doi: 10.1016/j.athoracsur.2014.03.003. Epub 2014 May 6.
4
Approach to patients with chylothorax complicating pulmonary resection.合并乳糜胸的肺切除患者的处理方法。
Thorac Cardiovasc Surg. 2012 Mar;60(2):135-9. doi: 10.1055/s-0030-1270990. Epub 2011 May 9.
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[Diagnosis and Management of Chylothorax after resection of Lung Cancer.].
Zhongguo Fei Ai Za Zhi. 2009 Aug 20;12(8):905-6. doi: 10.3779/j.issn.1009-3419.2009.08.15.
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Chylothorax and pseudochylothorax.乳糜胸和假性乳糜胸。
Eur Respir J. 1997 May;10(5):1157-62. doi: 10.1183/09031936.97.10051157.