Umemori Y, Makihara S, Fukuhara T, Nakashima K, Aoe K
Department of Thoracic Surgery, National Sanyo Hospital, Yamaguchi, Japan.
Kyobu Geka. 1998 Sep;51(10):888-91.
A 67-year-old female was admitted to our hospital because of pneumonia-like shadow on chest roentgenogram with persistent cough and sputum of 4 months duration. Diagnosis as lung cancer was delayed more than 4 months. She showed fever and inflammatory reactions. Antibiotics were effective to inflammatory reactions, but not effective to pneumonia-like shadow. Transbronchial lung biopsy was useful for the diagnosis. Right lower lobectomy was performed. In this case, tumor extents were limited within one lobe. Tumor cells did not invade blood and lymphatic vessels, and extrathoracic metastases were not detected. The prognosis of bronchiolo-alveolar cell carcinoma was determined by intra-pulmonary tumor extent. Based on a comparison with the outcome of unresected cases, bronchiolo-alveolar cell carcinoma limited within one lobe should be surgically resected.
一名67岁女性因胸部X线片显示肺炎样阴影、持续咳嗽及咳痰4个月而入住我院。肺癌诊断延误超过4个月。她出现发热及炎症反应。抗生素对炎症反应有效，但对肺炎样阴影无效。经支气管肺活检对诊断有帮助。行右下肺叶切除术。在此病例中，肿瘤范围局限于一个肺叶内。肿瘤细胞未侵犯血管和淋巴管，未检测到胸外转移。细支气管肺泡癌的预后取决于肺内肿瘤范围。基于与未切除病例结果的比较，局限于一个肺叶内的细支气管肺泡癌应行手术切除。
