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一位老年吸烟者的多灶性肺部混浊

Multifocal Pulmonary Opacities in an Elderly Smoker.

作者信息

McClelland Patton C, Jarrett Zachary, Lamb Christian C, Houle Mateo

机构信息

Internal Medicine, Brooke Army Medical Center, San Antonio, USA.

Pulmonary and Critical Care Medicine Service, Brooke Army Medical Center, San Antonio, USA.

出版信息

Cureus. 2024 Nov 16;16(11):e73793. doi: 10.7759/cureus.73793. eCollection 2024 Nov.

DOI:10.7759/cureus.73793
PMID:39691141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650100/
Abstract

Organizing pneumonia (OP) directly caused by ongoing cigarette smoking does not appear to have been previously described. Despite OP having pathophysiological features distinct from lung cancer, the two may be confused based on similar clinical, radiological, and histopathological findings. This distinction is further clouded by the dynamic nature of these diseases. Diagnostic accuracy can likely be improved with a multidisciplinary approach that involves input from several specialists and serial reevaluations as the disease evolves. We present a case of OP that was initially misdiagnosed as non-small-cell lung cancer and resolved with smoking cessation.

摘要

持续吸烟直接导致的机化性肺炎（OP）似乎此前未曾有过描述。尽管OP具有与肺癌不同的病理生理特征，但基于相似的临床、影像学和组织病理学表现，两者可能会被混淆。这些疾病的动态性质进一步模糊了这种区分。采用多学科方法，包括多名专家的意见以及随着疾病进展进行系列重新评估，可能会提高诊断准确性。我们报告一例最初被误诊为非小细胞肺癌的OP病例，该病例在戒烟后得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/9732043f40e6/cureus-0016-00000073793-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/16510177dd0a/cureus-0016-00000073793-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/f4109350d09b/cureus-0016-00000073793-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/6c345674db19/cureus-0016-00000073793-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/b7d959b44d66/cureus-0016-00000073793-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/f9eaa6159cc7/cureus-0016-00000073793-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/36b86e0145c6/cureus-0016-00000073793-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/e50b39fe6f14/cureus-0016-00000073793-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/a130348b3c82/cureus-0016-00000073793-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/9732043f40e6/cureus-0016-00000073793-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/16510177dd0a/cureus-0016-00000073793-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/f4109350d09b/cureus-0016-00000073793-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/6c345674db19/cureus-0016-00000073793-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/b7d959b44d66/cureus-0016-00000073793-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/f9eaa6159cc7/cureus-0016-00000073793-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/36b86e0145c6/cureus-0016-00000073793-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/e50b39fe6f14/cureus-0016-00000073793-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/a130348b3c82/cureus-0016-00000073793-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fc/11650100/9732043f40e6/cureus-0016-00000073793-i09.jpg

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Diffuse smoking-related lung diseases: insights from a radiologic-pathologic correlation.弥漫性吸烟相关肺部疾病：影像学与病理学相关性的见解
Insights Imaging. 2019 Jul 16;10(1):73. doi: 10.1186/s13244-019-0765-z.
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p40 Immunohistochemistry Is an Excellent Marker in Primary Lung Squamous Cell Carcinoma.p40免疫组化是原发性肺鳞状细胞癌的一种优秀标志物。
J Pathol Transl Med. 2018 Sep;52(5):283-289. doi: 10.4132/jptm.2018.08.14. Epub 2018 Aug 31.
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Organizing pneumonia related to electronic cigarette use: A case report and review of literature.与电子烟使用相关的机化性肺炎：一例病例报告及文献综述
Clin Respir J. 2018 Mar;12(3):1295-1299. doi: 10.1111/crj.12775. Epub 2018 Feb 22.
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Smoking-related idiopathic interstitial pneumonia: A review.吸烟相关的特发性间质性肺炎：综述
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Smoking-related interstitial lung disease.吸烟相关的间质性肺疾病
Dtsch Arztebl Int. 2015 Jan 23;112(4):43-50. doi: 10.3238/arztebl.2015.0043.
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