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題 名 | Malignant Pleural Mesothelioma Appearing as a Bronchogenic Malignancy--A Case Report=以惡性支氣管性腫瘤為表現之惡性肋膜間皮瘤--病例報告 |
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作 者 | 蕭世欣; 林鴻銓; 黃秀芬; 郭漢彬; | 書刊名 | 胸腔醫學 |
卷 期 | 16:4 2001.12[民90.12] |
頁 次 | 頁256-263 |
分類號 | 415.4 |
關鍵詞 | 惡性間皮瘤; 石棉; 螢光支氣管鏡; Malignant mesothelioma; Asbestos; Fluorescence bronchoscopy; |
語 文 | 英文(English) |
中文摘要 | 一位缺代明顯石棉暴露經歷的七十二歲男性病患抱怨乾咳達數月之久,而其胸部X光在右上肺耜呈現出一個開洞性腫瘤合併局部助膜侵犯。透過螢光支氣管趨可見右上肺葉支氣管處有一個惡性支氣管性腫瘤,而經開胸手術後,切除了右上肺葉腫瘤及被腫瘤侵犯的第六第七助骨。利用包括免疫組織化學染色法在內的病理組織檢驗,證實這是個不尋常的廣泛性惡性助膜間皮瘤合併有右主氣管侵犯及淋巴節結轉移。這樣的臨床及X光表現不但極為少見而其在螢光支氣管鏡的發現更是世界上首見。 |
英文摘要 | A 72-year-old ale patient with no obvious asbestos exposure history complained of a nonproductive cough lasting for months, and presented with an unusual upper right lobe mass with a cavity and pleural invasion on the chest radiograph. Fluorescence bronchoscopy revealed a bronchogenic malignancy in the upper right lobe bronchus. An exploratory thoractomy was performed and demonstrated an upper right lung mass with severe pleural adhesion. An upper right lobectomy and a palliative resection of the right 6th and 7th rib tumors were done. Detailed pathologic studies, including immunohistocytochemical staining, proved an extensive malignant mesothelisoma with a righ main bronchus invasion and lymph node metastasis. This pattern of the clinical and radiographc presentation has seldom been reported, and the fluorescence bronchoscopic finding has never been described as a indication of malignant mesothelioma. |
本系統中英文摘要資訊取自各篇刊載內容。