Kuo C L, Ho W L, Lin C C, Hwang M H
Department of Pathology, Show Chwan Memorial Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1995 Apr;55(4):339-42.
A rare case of bronchiectasis with carcinoid tumor, tumorlet type, is reported. The patient was a 53-year-old female who underwent lobectomy of the right middle and lower lobes for severe hemorrhage secondary to bronchiectasis. No tumor was seen on chest X-ray or by gross examination of the lung. Microscopically, there were multiple tumorlets in the pulmonary parenchyma surrounding the bronchiole and small bronchus. The tumor cells stained positive for neuron-specific enolase, keratin and chromogranin stain. The morphology, and staining properties suggested that the pulmonary tumorlets were carcinoid tumor. No tumor cells were identified in the four peribronchial lymph nodes. The patient is disease-free after four years of follow-up.
报告了一例罕见的类癌瘤型支气管扩张病例。患者为一名53岁女性,因支气管扩张继发严重出血接受了右中、下叶肺叶切除术。胸部X线检查或肺部大体检查均未发现肿瘤。显微镜下,在细支气管和小支气管周围的肺实质中有多个微瘤。肿瘤细胞神经元特异性烯醇化酶、角蛋白和嗜铬粒蛋白染色呈阳性。形态学和染色特性表明肺部微瘤为类癌瘤。在四个支气管周围淋巴结中未发现肿瘤细胞。随访四年后患者无疾病复发。