Takiguchi Y
Department of Internal Medicine, Chiba Municipal Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Feb;35(2):236-9.
A 62-year-old woman was admitted to the hospital because of dyspnea. A chest X-ray film showed a massive left pleural effusion. Thoracentesis was done and purulent fluid was found. Streptococcus intermedius was detected in the fluid. Chest drainage and administration of antibiotics were successful, but computed tomography of the chest revealed a mass in the left main bronchus. The mass was removed with transbronchial electrosurgical snaring forceps and was found to be a lipoma. This tumor had low CT numbers (from -70 HU to -140 HU), and this finding may be useful in the differential diagnosis of endobronchial tumors.
一名62岁女性因呼吸困难入院。胸部X线片显示左侧大量胸腔积液。进行了胸腔穿刺术,发现为脓性液体。在液体中检测到中间型链球菌。胸腔引流和抗生素治疗取得成功,但胸部计算机断层扫描显示左主支气管有一肿块。用经支气管电外科圈套器切除该肿块,发现是一个脂肪瘤。该肿瘤的CT值较低(-70 HU至-140 HU),这一发现可能有助于支气管内肿瘤的鉴别诊断。