Nishikawa M, Ikeda H, Suzuki Y, Muto R, Makino T, Murasawa S, Kitamura H, Suzuki S, Okubo T
First Department of Internal Medicine, Yokohama City University School of Medicine.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Jul;32(7):709-13.
A 49-year-old man was admitted to our hospital because of hemosputum, left chest pain and an abnormal shadow on chest X-ray. Computed tomography of the chest revealed a tumor-like shadow with a low density area in the left lower lung field. Ga scintigraphy revealed strong Ga uptake in the left lower lung. Fiberoptic bronchoscopy showed obstruction of subsegmental bronchi of it. B9+10. Neither transbronchial biopsy nor sputum cytology showed any malignant cells. Transcutaneous lung biopsy showed infiltration of foamy macrophages in alveolar spaces and lymphocytes and plasma cells in alveolar septa. Since there was a possibility of complicating lung cancer, and because of refractory hemosputum, the patient underwent left lower lobectomy. The cut surface of the resected left lobe showed the features of golden pneumonia with cavitation. The histological features of the resected specimen were those of lipoid pneumonia, and no cancer cells were detected.
一名49岁男性因咯血、左胸痛及胸部X线检查发现异常阴影入院。胸部计算机断层扫描显示左下肺野有一个低密度区的肿瘤样阴影。镓闪烁扫描显示左下肺有强烈的镓摄取。纤维支气管镜检查显示其亚段支气管阻塞（B9 + 10）。经支气管活检和痰细胞学检查均未发现恶性细胞。经皮肺活检显示肺泡腔内有泡沫状巨噬细胞浸润，肺泡间隔有淋巴细胞和浆细胞浸润。由于存在合并肺癌的可能性，且因咯血难治，患者接受了左下肺叶切除术。切除的左叶切面显示为有空洞形成的金黄色肺炎特征。切除标本的组织学特征为类脂性肺炎，未检测到癌细胞。
