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題名 | Pulmonary Actinomycosis with Invasion of Chest Wall, Diaphragm and Liver--Report of an Unusual Case=肺部放射線菌合併胸橫膈及肝臟之感染--罕見之病例報告 |
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作者 | 王仲陽; 許宏基; 張晃宙; 黃睦舜; 管毅剛; 蘇建銘; 施登富; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:5 民86.09-10 |
頁次 | 頁348-351 |
分類號 | 416.224 |
關鍵詞 | 肺部放射線菌; 胸橫膈; 肝臟; 感染; Actinomycosis; |
語文 | 英文(English) |
英文摘要 | 胸腔之放射線菌感染為一不常見之疾病。我們所報告的是--五十三歲之男性患者 ,該病患因懷疑肺部腫瘤而轉診至本院,術前並無確切之診斷。該病患隨後在本院接受剖胸 探查,於術中我們發現一巨大腫瘤,且該腫瘤侵犯至左下肺葉,並穿越橫膈至肝臟之側葉。 術後病理之檢查診斷為放射線菌感染。該病患術在本院接受盤尼西林治療六週,並已出院接 受門診追蹤。因此一放射線菌感染同時侵犯橫膈、肝臟,而未成胸壁廔管,在本島尚未文獻 提及,故報告之。 mography (CT) of the chest revealed a lung tumor of the left lower lobe in contact with the chest wall, diaphragm, and liver. Preoperative study, including CT-guided biopsy, did not disclose any definite diagnosis. An exploratory thoracotomy revealed a huge tumor in the periphery of the lower lobe of the left lung with invasion to the chest wall, diaphragm and the lateral segment of the liver. The tumor was resected and actinomycosis was proved by pathological examination. Postoperative course was uneventful, and the patient was given penicillin for 6 weeks, with no signs of recurrence at the time of the latest (1 year ) follow-up. |
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