Akamatsu H, Terashima M, Koike T, Takizawa T
Department of Thoracic Surgery, Niigata Cancer Center Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Sep;42(9):1370-3.
We report a case of 53-year-old man who performed resection of infected cystic lung lesion seen from his childhood. Chest X-ray showed no remarkable change in the wall of the cyst, and tumor shadow was negative. As the chest cavity was severely adhesive, operation was ended in partial resection including the cyst. Pathological study revealed moderately differentiated squamous cell carcinoma replacing the entire cystic wall. Right upper lobectomy and dissection of lymph nodes were performed as second operation. Microscopically, carcinoma was limited in the wall of the cyst.
我们报告一例53岁男性，该患者自幼即发现肺部有感染性囊性病变并接受了切除术。胸部X线显示囊肿壁无明显变化，且无肿瘤阴影。由于胸腔粘连严重，手术以包括囊肿在内的部分切除结束。病理研究显示，整个囊肿壁被中度分化的鳞状细胞癌取代。第二次手术进行了右上叶切除术及淋巴结清扫。显微镜下，癌仅局限于囊肿壁。
