[肺门型鳞状细胞癌局限于支气管壁并伴有肺门淋巴结转移：一例报告]
[Hilar type squamous cell carcinoma confined within the bronchial wall with hilar lymph node metastasis: a case report].
作者信息
Kawabata T, Ishikawa K, Kuniyoshi M, Ohta M, Genka K
机构信息
Department of Surgery, Okinawa National Hospital, Japan.
出版信息
Kyobu Geka. 1994 Dec;47(13):1094-6.
A 60-year-old male patient visited our hospital for evaluation of positive sputum cytology. A chest X-ray film revealed no abnormal shadows. Bronchofiberscopy showed a protruding lesion at the spur between left B8 and B9. Histological findings indicated squamous cell carcinoma. Left lower lobectomy with hilar and mediastinal lymph node dissection was performed. The tumor did not infiltrate beyond the bronchial cartilage on postoperative histologic examination. However, hilar lymph node (#12 l) metastasis was identified. Surgical resection with lymph node dissection is mandatory even in the hilar type lung cancer confined within the bronchial wall.
一名60岁男性患者因痰细胞学检查阳性前来我院评估。胸部X线片未显示异常阴影。纤维支气管镜检查显示左B8和B9之间的隆突处有一突出病变。组织学检查结果提示为鳞状细胞癌。行左下叶切除并清扫肺门和纵隔淋巴结。术后组织学检查显示肿瘤未浸润至支气管软骨以外。然而，发现肺门淋巴结（#12 l）转移。即使是局限于支气管壁内的肺门型肺癌，也必须进行手术切除并清扫淋巴结。
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