Lutz W, Mall W, Austgen M
Med Klin. 1979 Oct 19;74(42):1541-3.
In a 55 years old male patient bronchoscopy was carried out because of suspected bronchial carcinoma. Chest X-ray showed a lesion in the periphery of left lung, an episode of hemoptysis was reported 4 weeks prior to the examination. During bronchoscopy we found numerous small tumours on the mucosa of distal trachea and left main bronchus. The findings suggested a widespread malignant process, whereas histological examination of biopsies showed tracheobronchopathia osteochondroplastica. In the case described we could not find amyloidosis of tracheal wall or disorders in somatotropine secretion. Pathogenesis and clinical features of the disease, which is in a high percentage detected by chance or post mortem, are discussed.
一名55岁男性患者因疑似支气管癌接受了支气管镜检查。胸部X光显示左肺周边有一个病灶,检查前4周曾有咯血情况报告。在支气管镜检查过程中,我们在气管远端和左主支气管黏膜上发现了许多小肿瘤。这些发现提示存在广泛的恶性病变,而活检的组织学检查显示为骨软骨化生型气管支气管病。在该病例中,我们未发现气管壁淀粉样变性或生长激素分泌紊乱。文中讨论了这种疾病的发病机制和临床特征,该疾病很大比例是偶然发现或尸检时发现的。