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題名 | Pulmonary Metastasis of Pleomorphic Liposarcoma Presenting as a "Ball-in-Hole" Lesion on Chest Radiograph--A Case Report=多形性型脂肪肉瘤之肺轉移以"Ball-in-hole"之病變呈現於胸部照影 |
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作 者 | 高旭卿; 方文豐; 周柏安; 陳友木; 林孟志; 王金洲; | 書刊名 | 胸腔醫學 |
卷期 | 28:3 2013.06[民102.06] |
頁次 | 頁165-170 |
分類號 | 416.22 |
關鍵詞 | ball-in-hole病變; 多形性型脂肪肉瘤; 肺轉移; Ball-in-hole lesion; Pleomorphic liposarcoma; Lung metastasis; |
語文 | 英文(English) |
中文摘要 | 一位54歲男性,有肝癌及胸壁多形性型脂肪肉瘤而接受手術切除之病史,主述咳血一個月。胸部X光片發現右上肺部有一“ball-in-hole lesion"。胸部斷層掃瞄顯示於右上肺葉頂端有毛玻璃樣陰影,而在此毛玻璃樣陰影中有一3.7公分空洞,而此空洞中另有一個2.5公分的顯影結節。此病變被懷疑是麴菌瘤。因支氣管鏡檢查並未發現異常之病灶,因此安排外科手術切除。病人接受胸腔內視鏡輔助手術以施行右上肺葉及縱膈淋巴結切除。切除之病理組織化驗之後證實為肺轉移之多形性型脂肪肉瘤。病人術後復原良好,在接受手術8個月後尚無腫瘤復發跡象。因此,此病例報告描述了一個罕見類型脂肪肉瘤之肺轉移,並於胸部X光片上以少見之形式來呈現。 |
英文摘要 | A 54-year-old man with a history of hepatocellular carcinoma and chest wall pleomorphic liposarcoma post-surgical excision presented with 1 month of hemoptysis. CXR revealed a "ball-in-hole" lesion in the right upper lobe. CT scan of the chest revealed a 2.5 cm enhancing nodule at the anti-dependent portion of a 3.7 cm cavity within ground-glass opacity at the apical segment of the right upper lobe. Aspergilloma was suspected. Bronchoscopic examination failed to identify the lesion, so surgical excision was scheduled. Right upper lobectomy with mediastinal lymph nodes dissection was performed utilizing video-assisted thoracic surgery. The lesion was identified as a metastatic pleomorphic liposarcoma in the pathological study. The postoperative course was uneventful, and no recurrence was found 8 months after the surgery. This case illustrates a rare type of liposarcoma with metastasis to the lung, presenting with an unusual pattern on the CXR. |
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