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支气管内脂肪瘤合并阻塞性肺炎:一例报告

Endobronchial lipoma with obstructive pneumonia: A case report.

作者信息

Wang Yinjiao, Du Peng

机构信息

Department of Radiology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China.

出版信息

Oncol Lett. 2024 Sep 26;28(6):566. doi: 10.3892/ol.2024.14699. eCollection 2024 Dec.

Abstract

Endobronchial lipoma (EL) is a rare benign lung tumor, and its incidence rate only accounts for a tiny proportion of all lung tumors. EL has non-specific clinical symptoms and signs, and chest computed tomography is helpful in diagnosis. When fat density nodules are found in the bronchial lumen with no enhancement, EL should be considered. Once this disease is diagnosed, bronchoscopic intervention therapy is the first choice for treatment, and patients generally have a good prognosis. The present report describes the diagnosis and treatment processes of a patient with EL. The patient sought medical attention due to recurrent fever, cough and white sputum for >1 month. The chest CT revealed a hypodensity nodule at the bronchial opening of the basal segment of the lower lobe of the left lung, with the margins showing foci of punctate calcification. The patient underwent a bronchoscopy and the pathological diagnosis was EL. In the present study, a literature review analysis is also included to provide a reference for the diagnosis and treatment of this disease.

摘要

支气管内脂肪瘤(EL)是一种罕见的良性肺肿瘤,其发病率仅占所有肺肿瘤的极小比例。EL具有非特异性的临床症状和体征,胸部计算机断层扫描有助于诊断。当在支气管腔内发现脂肪密度结节且无强化时,应考虑EL。一旦确诊此病,支气管镜介入治疗是首选治疗方法,患者总体预后良好。本报告描述了一名EL患者的诊断和治疗过程。该患者因反复发热、咳嗽及咳白色痰1个月以上前来就医。胸部CT显示左肺下叶基底段支气管开口处有一个低密度结节,边缘可见点状钙化灶。患者接受了支气管镜检查,病理诊断为EL。本研究还纳入了文献综述分析,为该病的诊断和治疗提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/11465229/20edb7b00ca2/ol-28-06-14699-g00.jpg

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