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[肺支气管囊肿与肺结核。1例病例报告]

[Bronchogenic cyst of the lung and pulmonary tuberculosis. Presentation of a case].

作者信息

Puchetti V, Carolo F, Canton C, Orcalli F

出版信息

Chir Ital. 1978 Jun;30(3):194-204.

PMID:688540
Abstract

The paper considers a clinical case of multiple bronchogenic cysts associated with a pneumonitic process of TB character, operated successfully by means of an upper right and middle bilobectomy. No similar case was found in literature. The malformations were of congenital origin, characterised histologically by a cavity, the walls of which contain elements proper to the bronchus: cartilage and ciliate columnar epithelium. The squamous metaplasia is rare, and the neoplastic transformation very rare. From the clinical point of view a distinction is made between asymptomatic cysts, in which the clinical picture is dominated by compressive phenomena affecting the surrounding structures, or sometimes by infection due to supervening bacterial, mycotic or--as in our case--tubercular contamination. The therapeutic indication is exclusively surgical, with methods of exeresis varying according to the extent and location of the morbid process.

摘要

本文探讨了一例伴有结核性肺炎病变的多发性支气管源性囊肿临床病例,该病例通过右上叶和中叶双叶切除术成功进行了手术治疗。文献中未发现类似病例。这些畸形为先天性起源,组织学特征为一个腔,其壁含有支气管特有的成分:软骨和纤毛柱状上皮。鳞状化生罕见,肿瘤转化极为罕见。从临床角度来看,无症状囊肿可分为两类,一类临床症状主要由影响周围结构的压迫现象主导,另一类有时由继发的细菌、霉菌感染(在我们的病例中为结核感染)引起。治疗指征仅为手术,切除方法根据病变的范围和位置而有所不同。

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