Li Zhengjun, Wang Xiaoge, Liu Chang, Ren Yi
Department of Thoracic Surgery, Shenyang Chest Hospital, Shenyang, China.
Department of Respiratory Medicine, Shenyang Chest Hospital, Shenyang, China.
Front Med (Lausanne). 2024 Aug 19;11:1445752. doi: 10.3389/fmed.2024.1445752. eCollection 2024.
Lung cancer associated with cystic airspaces is a rare disease, and a rare imaging performance of non-small cell lung cancer. Due to the lack of conventional diagnosis methods, it is difficult to rely on imaging diagnosis. Therefore, the definitive diagnosis of these neoplastic lesions remains challenging.
We summarize the follow-up and diagnosis of a rare cystic airspaces lung metastatic carcinoma in an elderly man with annular density shadow in the right inferior lobe 2 years after surgery for squamous cell carcinoma in the left inferior lobe.
During the follow-up of the patient, after the lesion of the lower lobe of the right lung was enlarged, the structural and imaging characteristics were identified, and a special method was selected, namely biopsy of the lesion under the electromagnetic navigation bronchoscope, for clear diagnosis and subsequent treatment.
For pulmonary cystic airspaces, it is important to correctly identify their imaging features. Because of the possibility of malignancy, it is essential to stop the radiological study in time and to acquire the pathological diagnosis by an appropriate method.
与含气囊腔相关的肺癌是一种罕见疾病，也是非小细胞肺癌罕见的影像学表现。由于缺乏传统诊断方法，难以依靠影像学进行诊断。因此，对这些肿瘤性病变进行明确诊断仍具有挑战性。
我们总结了一名老年男性罕见的含气囊腔肺转移癌的随访及诊断情况，该患者左下叶鳞状细胞癌术后2年，右下叶出现环形密度影。
在对患者的随访过程中，右肺下叶病变增大后，明确了其结构及影像学特征，并选择了一种特殊方法，即在电磁导航支气管镜下对病变进行活检，以明确诊断并进行后续治疗。
对于肺含气囊腔，正确识别其影像学特征很重要。由于存在恶变的可能性，及时停止影像学检查并通过适当方法获取病理诊断至关重要。
