Horio H, Nomori H, Morinaga S, Fuyuno G, Kobayashi R, Iga R
Department of Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Kyobu Geka. 1996 Feb;49(2):163-6.
The patient was 69-year-old male with bronchogenic carcinoma associated with another abnormal shadow in the same left lower lobe. Its shadow was considered whether obstructive pneumonia or intrapulmonary metastasis before thoracotomy. Pathological examination revealed that this lesion was pulmonary infarction. It may be rare that bronchogenic carcinoma is associated with pulmonary infarction showing tumorous shadow. The staging and operative indication of lung cancer should be carefully determined which associate with abnormal shadow on the same lung field.
该患者为69岁男性，患有支气管源性癌，同时左肺下叶还有另一个异常阴影。在开胸手术前，其阴影被怀疑是阻塞性肺炎或肺内转移。病理检查显示该病变为肺梗死。支气管源性癌与呈现肿瘤样阴影的肺梗死相关可能较为罕见。对于在同一肺野伴有异常阴影的肺癌，其分期和手术指征应仔细确定。
