Fujimoto N, Segewa Y, Takigawa N, Takata I, Hotta K, Mogami H, Nakata M, Mandai K, Eguchi K
Department of Internal Medicine, National Shikoku Cancer Center Hospital, Matsuyama, Japan.
Lung Cancer. 1998 Jun;20(3):203-9. doi: 10.1016/s0169-5002(98)00019-1.
We present two cases of intrapulmonary lymph node. The patients were a 44-year-old woman and a 71-year-old man each with a small peripheral nodule in the lung. On computed tomography (CT) scans, both nodules were spiculated. Since histological diagnosis could not be obtained by bronchoscopic examination or CT-guided needle biopsy, they underwent video-assisted thoracoscopic surgery. Histological examination of the resected material revealed that both nodules were composed of lymph node. Intrapulmonary lymph node has until recently been assigned no clinical significance; however, differential diagnosis of this lesion from lung cancers and other metastatic tumors is now clinically important.
我们报告两例肺内淋巴结病例。患者分别为一名44岁女性和一名71岁男性，两人肺部均有一个小的周边结节。在计算机断层扫描（CT）上，两个结节均有毛刺征。由于支气管镜检查或CT引导下针吸活检无法获得组织学诊断，他们接受了电视辅助胸腔镜手术。对切除组织的组织学检查显示，两个结节均由淋巴结组成。直到最近，肺内淋巴结一直被认为没有临床意义；然而，现在临床上将该病变与肺癌和其他转移性肿瘤进行鉴别诊断很重要。
