Kolosseus R C, Temes R T, Feddersen R M, Williamson M, Smith A Y
Department of Surgery, University of New Mexico School of Medicine, Albuquerque 87131, USA.
Urology. 1995 Aug;46(2):249-50. doi: 10.1016/s0090-4295(99)80202-7.
Clinically apparent intrapulmonary lymph nodes are rare but may be incorrectly diagnosed as pulmonary metastatic disease. We report on a 65-year-old man who presented with a left renal mass and left lower lobe pulmonary nodules that were interpreted radiographically to be consistent with metastatic disease. Surgical pathologic examination confirmed intrapulmonary lymph nodes and a Stage II renal cell carcinoma. Failure to diagnose intrapulmonary lymph nodes may result in erroneous diagnosis of metastatic disease and preclude potentially curative treatment.
临床上明显的肺内淋巴结很少见，但可能被误诊为肺转移性疾病。我们报告一名65岁男性，他出现左肾肿块和左下叶肺结节，影像学检查认为与转移性疾病相符。手术病理检查证实为肺内淋巴结和II期肾细胞癌。未能诊断出肺内淋巴结可能导致对转移性疾病的错误诊断，并排除潜在的治愈性治疗。
