Mizuno K, Yanagisawa N, Ichinose Y, Utsumi K, Kasuga I, Kusumoto H, Toyama K
First Department of Internal Medicine, Tokyo Medical College, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Apr;35(4):471-6.
A 62-year-old man was admitted to our hospital for evaluation of bilateral tumor-like shadows along the ribs. He had been a diamond-grinder for twenty years. Thoracoscopic examination with a flexible bronchoscope revealed many well-circumscribed tumors with shiny, smooth, convex surfaces on the parietal pleura. The biopsy specimen had hyaline collagen with no cellular components. Based on these findings the tumors were diagnosed as pleural plaques. Cases of pleural plaques are usually followed up with chest radiography only, but the clinical course may be complicated by malignant mesothelioma and other malignant disease. To differentiate these conditions we performed biopsy during intrathoracic observation. The flexible bronchoscope can be useful in such procedures because it is relatively easy to operate and the procedure is relatively non invasive.
一名62岁男性因双侧肋骨旁肿瘤样阴影入院接受评估。他曾做了20年的钻石研磨工。使用可弯曲支气管镜进行的胸腔镜检查显示，壁层胸膜上有许多边界清晰的肿瘤，表面发亮、光滑且凸起。活检标本有透明胶原，无细胞成分。基于这些发现，这些肿瘤被诊断为胸膜斑。胸膜斑病例通常仅通过胸部X线摄影进行随访，但临床过程可能并发恶性间皮瘤和其他恶性疾病。为鉴别这些情况，我们在胸腔内观察期间进行了活检。可弯曲支气管镜在此类操作中可能有用，因为它操作相对容易，且该操作相对无创。
