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[术前诊断为左上肺野肺内型肺隔离症1例罕见病例]

[A rare case of intrapulmonary sequestration in left upper lung field diagnosed before surgery].

作者信息

Tachibana M, Narita K, Hiyoshi H, Yoshida H, Shinohara Y, Iwanami H, Sakonzi M, Tsuboi E

出版信息

Kyobu Geka. 1993 Jul;46(7):614-7.

PMID:8336441
Abstract

This case is a 30-year-old male who was indicated abnormal shadow in the left upper lung field by chest X-ray film. The aortography was carried out because pulmonary sequestration was suspected by chest CT-scan etc. From the result, rare pulmonary sequestration in the left upper lung field was diagnosed because patterns with inflow of an abnormal artery from descending aorta into the left upper lung field and perfusion of it into the upper pulmonary vein were observed. The wedge resection was performed. The specimen was slightly hard on the whole, and many cartilages or multiple nodules were observed on the cut surface. Histopathologically, normal pulmonary structure was disappeared, and hyperplasia of the lymphatic nodule was remarkably observed in the interstitium, and cystic wall was covered by ciliated cylindrical epithelium.

摘要

该病例为一名30岁男性,胸部X线片显示左上肺野有异常阴影。因胸部CT扫描等怀疑为肺隔离症,故进行了主动脉造影。根据检查结果,诊断为左上肺野罕见的肺隔离症,因为观察到有异常动脉从降主动脉流入左上肺野并灌注到上肺静脉的影像。遂行楔形切除术。标本整体稍硬,切面可见许多软骨或多个小结节。组织病理学检查显示,正常肺结构消失,间质内淋巴小结明显增生,囊壁被纤毛柱状上皮覆盖。

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