[分化良好的肺脂肪肉瘤:一例报告】。]

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-03-01
Jun Yamamoto, Yoshikane Yamauchi, Ryosuke Nakano, Yuri Shiraiwa, Toshiki Ikeda, Tatsuya Kusumoto, Ayano Ooashi, Masayoshi Miyawaki
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引用次数: 0

摘要

一名 61 岁的妇女因左上肺囊内结节转诊接受进一步评估。计算机断层扫描(CT)显示,主动脉弓和纵隔附近的肺囊肿内有一个 15 毫米的结节。荧光脱氧葡萄糖正电子发射断层扫描(FDG-PET)显示病灶中几乎没有吸收 FDG。支气管镜检查未发现异常。根据影像学检查结果,考虑到肺曲霉瘤的可能性,但血清学检查结果不一致,为了诊断和治疗,对病灶进行了手术切除。最终病理组织学诊断为分化良好的脂肪肉瘤。患者术后 2 年未再复发,情况良好。我们报告了一例罕见的模仿肺曲霉瘤的肺分化良好脂肪肉瘤病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Well Differentiated Liposarcoma of a Lung:Report of a Case].

A 61-year-old woman was referred for further evaluation of an intracystic nodule in her left upper lung. Computed tomography( CT) showed a 15 mm nodule in a pulmonary cyst adjacent to aortic arch and mediastinum. Fluorodeoxyglucose-positron emission tomography (FDG-PET)-CT showed little uptake of FDG in the lesion. No abnormality was found in the bronchoscopy findings. On imaging findings, the possibility of pulmonary aspergilloma was considered, but the serological findings were inconsistent, and surgical resection of the lesion was performed for both diagnosis and treatment. The final pathohistological diagnosis was well differentiated liposarcoma. No adjuvant therapy was performed and the patient has been well without recurrence for 2 years after the surgery. We report a rare case of well differentiated liposarcoma of a lung mimicking pulmonary aspergilloma.

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