Orth M, Achatzy R, Macha H N, Müller K M, Wiebe V, Schultze-Werninghaus G
Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik/Ruhr-Universität Bochum.
Pneumologie. 1995 Sep;49(9):505-8.
A 48-year old patient complaining of immitigable coughing with purulent and sanguineous sputum and a loss of weight of 8 kg within the last three months was admitted to our hospital. Due to anamnesis and radiological findings (tumor of the right side upper lung field with infiltration of the chest wall and the mediastinum) we suspected a bronchogenic carcinoma. As bronchoscopy and histological examinations of biopsies revealed no hints to the underlying disease, we submitted the patient to a right side explorative thoracotomy. It showed a tumorous involvement of the right side upper lung field with infiltration and partial destruction of the chest wall and infiltration of the apical segment of the lower lobe of the lung and a phlegmonous infiltration of the paratracheal tissue. Histological examination confirmed chronical course of actinomycosis. Therapy consisted in resection of the affected tissue and long-term administration of antibiotics. Response to therapy was excellent concerning both radiological findings and subjective complaints.
一名48岁患者因持续咳嗽、咳脓性和血性痰，且在过去三个月内体重减轻8公斤而入住我院。根据病史和影像学检查结果（右上肺野肿瘤伴胸壁和纵隔浸润），我们怀疑是支气管源性癌。由于支气管镜检查和活检的组织学检查未发现潜在疾病的线索，我们对患者进行了右侧探查性开胸手术。结果显示右上肺野有肿瘤累及，胸壁浸润并部分破坏，下叶尖段浸润，气管旁组织有蜂窝织炎浸润。组织学检查证实为放线菌病的慢性病程。治疗包括切除受影响的组织和长期使用抗生素。治疗反应在影像学检查结果和主观症状方面均非常良好。
