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1例肺微小瘤合并结核瘤经支气管肺活检误诊为小细胞肺癌

[A case of pulmonary tumorlet with tuberculoma misdiagnosed as small cell lung carcinoma by transbronchial lung biopsy].

作者信息

Higashiyama M, Doi O, Kodama K, Yokouchi H, Tateishi R, Kuriyama K, Mizushima K, Nakabayashi H

机构信息

Department of Thoracic Surgery, Center for Adult Diseases, Osaka, Japan.

出版信息

Kyobu Geka. 1995 Feb;48(2):165-8.

PMID:7897890
Abstract

A 59-year-old woman was picked up by chest X-ray findings. Her CT scan film showed a tumor shadow in the upper lobe of the left lung, and by transbronchial lung biopsy, she was diagnosed as a small cell lung carcinoma. Lobectomy was performed, but the lesion was diagnosed as tuberculoma by frozen section. Furthermore, on postoperative histological examination, a minute lesion of tumorlet, which was histologically identical to that preoperatively detected by transbronchial lung biopsy was found in the adjacent tissues of the tuberculoma. Pulmonary tumorlet is clinically a rare lesion, but the diagnosis and treatment for small-sized tumor or tumor-like lesion may be carefully done, taking into account the existence or co-existence of tumorlet lesion.

摘要

一名59岁女性通过胸部X光检查被发现问题。她的CT扫描片显示左肺上叶有肿瘤阴影,经支气管肺活检,被诊断为小细胞肺癌。遂进行了肺叶切除术,但冰冻切片诊断为结核瘤。此外,术后组织学检查发现,在结核瘤的相邻组织中存在一个微小的微小结节病变,其组织学特征与术前经支气管肺活检检测到的病变相同。肺微小结节在临床上是一种罕见的病变,但对于小型肿瘤或肿瘤样病变的诊断和治疗,应考虑到微小结节病变的存在或并存情况,谨慎进行。

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