{"title":"肺鞍状肿瘤","authors":"A. Feng, E. Sy","doi":"10.5580/d87","DOIUrl":null,"url":null,"abstract":"A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiberoptic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy.","PeriodicalId":284620,"journal":{"name":"The Internet Journal of Pulmonary Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Lung Saddle Tumor\",\"authors\":\"A. Feng, E. Sy\",\"doi\":\"10.5580/d87\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiberoptic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy.\",\"PeriodicalId\":284620,\"journal\":{\"name\":\"The Internet Journal of Pulmonary Medicine\",\"volume\":\"30 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2008-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Internet Journal of Pulmonary Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5580/d87\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Internet Journal of Pulmonary Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5580/d87","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
91岁男性，60年吸烟史，前列腺癌患者，因间歇性咯血和呼吸困难住院一周。体格检查发现一名病恹恹的男子，双侧基底肺搏动。胸部计算机断层扫描显示左上肺推测结节(图A)，右下气管旁淋巴结病(图B)和隆突下淋巴结病(图C)。行纤维支气管镜检查咯血，在隆突水平发现易碎肿块，并延伸至双主支气管(图D, E, F)。经支气管穿刺和支气管内活检病理显示低分化非小细胞癌。有利于鳞状细胞类型。患者被诊断为IV期非小细胞肺癌并接受放射治疗。
A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiberoptic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy.
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