Jedruszczak B, Decker E, Kamiński Z, Gatarek J, Burakowska B
Poradni Gruźlicy i Chorób Płuc Warszawa-Wola.
Pneumonol Alergol Pol. 1995;63(1-2):64-71.
A case of 59 year old woman with a 21 year history of recurrent pneumonias of the upper left lobe is presented. When she at last agreed for the diagnosis her chest X-rays revealed atelectasis and cirrhosis with bronchiectases of the left lung. Tumor of the left main bronchus and severe inflammation of the surrounding mucosa with purulent secretion were found during bronchofiberoscopy. The patient underwent left pneumonectomy. Histological examination of the specimen revealed presence of carcinoid in the main left bronchus without involvement of the regional lymphnodes, with signs of irreversible damage of other bronchi and pulmonary tissue. The very long period of observation since the first symptoms, no metastases in the bronchopulmonary lymphonodes and no distant metastases indicate the low-grade malignancy of the carcinoid in the presented case.
本文报告一例59岁女性患者，左上叶反复发生肺炎21年。最终她同意接受诊断时，胸部X光显示左肺肺不张和伴有支气管扩张的肺硬化。纤维支气管镜检查发现左主支气管肿瘤及周围黏膜严重炎症伴脓性分泌物。患者接受了左肺切除术。标本的组织学检查显示左主支气管存在类癌，未累及区域淋巴结，其他支气管和肺组织有不可逆损伤迹象。自首次出现症状以来观察时间很长，支气管肺淋巴结无转移且无远处转移，表明该病例中类癌的恶性程度较低。
