Yagi N, Yazawa M, Togashi K, Sato Y, Igarashi T, Kaneko H
Department of Thoracic and Cardiovascular Surgery, Nagaoka Red Cross Hospital, Japan.
Kyobu Geka. 1993 Aug;46(9):784-6.
A case of solitary papilloma of pulmonary parenchyma is presented. The patient was a 47-year-old woman admitted our clinic because of a mass shadow on routine chest films. The operation was performed without definitive diagnosis of the tumor. Intraoperative frozen specimen revealed to be either papilloma or squamous cell carcinoma. So right upper and middle lobectomies with mediastinal lymph nodes dissection were performed. When a definite diagnosis cannot be proved to be papilloma even at surgery, treatment as a lung cancer should be performed. Solitary benign papilloma like this case is very rare. According to the literature, this case seems to be the first Japanese case of solitary papilloma in pulmonary parenchyma.
本文报告一例肺实质孤立性乳头状瘤。患者为47岁女性,因常规胸部X线片发现肿块阴影而入住我院。手术时未对肿瘤作出明确诊断。术中冰冻标本显示为乳头状瘤或鳞状细胞癌。因此,实施了右上叶和中叶切除及纵隔淋巴结清扫术。即使在手术时也无法明确诊断为乳头状瘤时,应按肺癌进行治疗。像这样的孤立性良性乳头状瘤非常罕见。据文献记载,该病例似乎是日本首例肺实质孤立性乳头状瘤。