一例表现为囊性病变和复发性气胸的腺癌病例。
A case of adenocarcinoma presenting with cystic lesion and recurrent pneumothoraces.
作者信息
Yu Long, Lou Yang, Zhu Dan
机构信息
Department of respiratory and Critical Care Medicine, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Zhejiang, 321000, China.
Department of Cardiothoracic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Zhejiang, 321000, China.
出版信息
J Cardiothorac Surg. 2024 Oct 1;19(1):576. doi: 10.1186/s13019-024-03111-0.
BACKGROUND
In this paper, a rare case is reported, where the patient is a 74-year-old man. He suffered from recurrent pneumothorax within half a year and experienced a relapse after receiving conservative treatments.
CASE PRESENTATION
Diagnostic workup revealed a cystic lesion in the right middle lobe, which has been interpreted as a bulla during the initial chest CT scan. Due to recurrent pneumothorax and poor response to the conservative treatments, the patient underwent bullectomy and pleurodesis. The pathology showed that the wall of the cystic lesion was invasive adenocarcinoma.
CONCLUSIONS
This case highlights the importance of monitoring cystic lesions in the lungs, especially in patients with a history of smoking and emphysema.
背景
本文报告了一例罕见病例，患者为一名74岁男性。他在半年内反复发生气胸，接受保守治疗后复发。
病例介绍
诊断检查发现右中叶有一个囊性病变，在最初的胸部CT扫描中被解释为肺大疱。由于反复气胸且对保守治疗反应不佳，患者接受了肺大疱切除术和胸膜固定术。病理显示囊性病变的壁为浸润性腺癌。
结论
该病例突出了监测肺部囊性病变的重要性，尤其是在有吸烟史和肺气肿的患者中。
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