Bateson E M, Hayes J A, Woo-Ming M
Thorax. 1968 Jan;23(1):69-76. doi: 10.1136/thx.23.1.69.
A teratoma in a young West Indian of Negro race is reported. The teratoma presented radiologically in the left upper lobe as an ill-defined shadow which contained a crescent-shaped translucent area and simulated a mycetoma. In addition, the left lung showed widespread nodular shadows. The left lung was resected and the teratoma was found to be endobronchial in position. This is a very rare site for a teratoma as only one of the 15 previously reported intrapulmonary teratomata may have been endobronchial. The remainder of the left lung remote from the tumour showed generalized bronchiectasis both radiologically and pathologically. The bronchiectasis was of follicular type and in addition there was widespread bronchiolectasis. The inflammatory reaction associated with the latter was responsible for the nodular shadows. The significance of these changes in relation to the teratoma is discussed.
报告了一名西印度黑人青年的畸胎瘤病例。该畸胎瘤在放射学上表现为左上叶一个边界不清的阴影,其中包含一个新月形的透光区,类似肺真菌瘤。此外,左肺可见广泛的结节状阴影。左肺被切除,发现畸胎瘤位于支气管内。这是畸胎瘤非常罕见的位置,因为在之前报道的15例肺内畸胎瘤中,只有1例可能位于支气管内。远离肿瘤的左肺其余部分在放射学和病理学上均显示为广泛性支气管扩张。支气管扩张为滤泡型,此外还有广泛的细支气管扩张。与后者相关的炎症反应导致了结节状阴影。文中讨论了这些改变与畸胎瘤的关系。