Miyata Y, Okano R, Kuratomi Y
Department of Integrated Medicine, Omiya Medical Center, Jichi Medical School.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Aug;35(8):910-4.
A 58-year-old woman because of coughing and an abnormality on a chest renggenogram was referred to our hospital. A chest X-ray film and a computed tomogram revealed atelectasis of the right lower lobe and a round tumor in the left lower lobe. Fiberoptic bronchoscopy revealed an endobronchial polypoid tumor in the intermediate bronchus, which completely obstructed the orifice of the right lower-lobe bronchus. Microscopical examination revealed B-cell diffuse, large, non-Hodgkin's lymphoma. No extrapulmonary lesion was found, and therefore primary pulmonary non-Hodgkin's lymphoma was diagnosed. Chemotherapy resulted in rapid and complete regression of the tumor, which was confirmed endoscopically and histologically. The patient was still in complete remission 8 months after the end of chemotherapy. There have been no additional interventions.
一名58岁女性因咳嗽及胸部X线检查异常转诊至我院。胸部X线片及计算机断层扫描显示右下叶肺不张及左下叶圆形肿瘤。纤维支气管镜检查发现中间支气管内有一息肉样肿瘤,完全阻塞了右下叶支气管开口。显微镜检查显示为B细胞弥漫性大细胞非霍奇金淋巴瘤。未发现肺外病变,因此诊断为原发性肺非霍奇金淋巴瘤。化疗使肿瘤迅速完全消退,经内镜和组织学证实。化疗结束8个月后,患者仍处于完全缓解状态。未进行其他干预。