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題 名 | Bronchial Cytology of Tracheal Adenoid Cystic Carcinoma--A Case Report=原發性氣管腺樣囊狀癌的氣管沖洗細胞學檢查--病例報告 |
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作 者 | 朱旆億; 鄧宗瀚; 陳正杰; 謝義山; 李進成; | 書刊名 | 慈濟醫學 |
卷 期 | 18:5 民95.10 |
頁 次 | 頁397-399+408 |
關鍵詞 | |
語 文 | 英文(English) |
中文摘要 | 氣管的腺樣囊狀癌相當的罕見。有關於這類腫瘤的氣管沖洗細胞學的描述更是少見。在本篇文章中,我們報告一例三十一歲的男性病人,其起源自左主支氣管的腺樣囊狀癌,在最初的氣管沖洗細胞學檢查中被高度懷疑,之後經由組織學檢查所確診。病人拒絕任何的外科手術切除或是放射線療法,改用草藥療法。診斷十八個月之後,腫瘤變大並且造成整個左肺塌陷。病人目前還活著。 |
英文摘要 | Adenoid cystic carcinoma of the trachea is very rare. Articles that include cytological descriptions are even rarer. We wish present a case report that includes the bronchial cytology for such a carcinoma. We present he case report of a 31-year-old male patient suffering from adenoid cystic carcinoma arising in the left main bronchus. It was initially suspected from bronchial washing cytology. Magenta globules composed of basement membrane material surrounded by small malignant cells were present in the cytological findings. Adenoid cystic carcinoma was considered. Subsequent histopathological diagnosis confirmed our suspicions. Chest computed tomography (Ct) showed a hypodense soft tissue mass-like lesion around the left main bronchus with airway stenosis and left lung atelectasis. Surgery and radiation therapy were refused by the patient; he chose to take herbal medicaltion instead. After 18 months follow up, the tumor showed enlargement and the left lung showed total atelectasis. The patient is still alive. Radical surgical resection should n be performed based solely on cytological studies because of resemblance to several benign neoplasms, such as basal cell adenoma or pleomorphic adenoma. Further careful histopathological and immunological studies can often distinguish between these tumor. |
本系統中英文摘要資訊取自各篇刊載內容。