Fedullo A J, Ettensohn D B
Chest. 1985 Jan;87(1):129-31. doi: 10.1378/chest.87.1.129.
We report the results of bronchoalveolar lavage in a patient who had pulmonary lymphangitic spread of adenocarcinoma from an unknown primary. The lavage specimen was remarkable for a large increase in the number of lymphocytes. This observation extends the differential diagnosis of a lymphocyte-predominant lavage specimen. The recovery of large numbers of lymphocytes associated with malignancy in this case suggests that bronchoalveolar lavage may also be useful to study aspects of the immune response to interstitial lymphangitic spread of malignancy to the lung.
我们报告了一例腺癌肺淋巴管播散但原发灶不明患者的支气管肺泡灌洗结果。灌洗标本中淋巴细胞数量大幅增加，这一发现拓展了以淋巴细胞为主的灌洗标本的鉴别诊断范围。该病例中大量与恶性肿瘤相关的淋巴细胞的检出表明，支气管肺泡灌洗对于研究机体对恶性肿瘤向肺间质淋巴管播散的免疫反应方面可能也有用处。
