Pohl D, Herse B, Criée C P, Dalichau H
Klinik für Thorax-, Herz- und Gefässchirurgie, Universität Göttingen.
Pneumologie. 1993 Feb;47(2):69-72.
Spontaneous pneumothorax is caused by benign lung diseases in more than 95 percent. Mainly presenting in younger male patients between 20 and 40 years of age its prognosis is generally good.--On the other hand, pneumothorax as initial manifestation of bronchial carcinoma is a rare complication with poor prognosis. We report such a case of a 70 year-old man, review the literature and describe characteristical problems in diagnosis and therapy of very small bronchogenic tumors. Estimating that only 2 percent of all spontaneous pneumothoraces are coexisted with malignant lung diseases--either primary or secondary--this tumor-complication especially must be considered in older patients. Their prognosis may be improved entirely by rapid diagnosis and therapy.
超过95%的自发性气胸由良性肺部疾病引起。主要发生在20至40岁的年轻男性患者中，其预后通常良好。另一方面，气胸作为支气管癌的初始表现是一种罕见的并发症，预后较差。我们报告了这样一例70岁男性患者的病例，回顾了文献并描述了极微小支气管源性肿瘤在诊断和治疗中的特征性问题。据估计，所有自发性气胸中只有2%与原发性或继发性恶性肺部疾病共存，这种肿瘤并发症尤其必须在老年患者中予以考虑。通过快速诊断和治疗，他们的预后可能会得到全面改善。
