Nakayama K, Gu K, Yamauchi M, Sasaki T, Nosaka S, Saitoh Y
Department of Surgery, Shimane Medical University, Izumo, Japan.
Kyobu Geka. 1995 Jul;48(7):532-5.
A 58-year-old woman complained of cough and fever. CX-P and chest CT revealed pneumonic shadow and serum CA 19-9 level was high. Since the malignant cells were found in the bronchial lavage fluid, the lower lobectomy of the left lung was done. Both macroscopically and microscopically, adenocarcinoma only existed in 2-3 mm width at the peripheral site of the scar lesion. The postoperative CA 19-9 values continued to be high, suggesting the recurrence of the cancer. After 23 months from the first operation, the upper lobe of the left lung was resected on the base of the similar findings in CX-P and chest CT. The histological finding of the specimen was compatible with the scar cancer described above. After the second operation, the serum CA 19-9 value decreased to normal. We reported a case of the lung scar cancer with special pathohistological feature.
一名58岁女性主诉咳嗽和发热。胸部X线平片（CX-P）和胸部CT显示有肺炎阴影，血清CA 19-9水平升高。由于在支气管灌洗液中发现了恶性细胞，遂进行了左肺下叶切除术。大体及显微镜检查显示，腺癌仅存在于瘢痕病变周边2 - 3毫米宽的范围内。术后CA 19-9值持续升高，提示癌症复发。首次手术后23个月，基于CX-P和胸部CT的类似表现，切除了左肺上叶。标本的组织学检查结果与上述瘢痕癌相符。第二次手术后，血清CA 19-9值降至正常。我们报告了一例具有特殊病理组织学特征的肺瘢痕癌病例。
