从楔形肺切除术到肺切除术,作为肺粘液瘤病的手术选择。

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae753
Alexander Pohlman, Mohammad Nizamuddin, Fritzie S Albarillo, Zaid M Abdelsattar
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引用次数: 0

摘要

肺粘孢子菌病(PM)是一种罕见的危及生命的疾病,多发于免疫力低下的患者。早期症状和体征通常没有特异性。对高危患者的高度怀疑应促使他们及早进行感染性检查,包括支气管镜检查,然后进行积极的抗真菌治疗,并在必要时及早进行手术切除。我们通过两名患者的病例展示了这些诊断和处理肺结核的核心原则,第一名患者是一名肾移植受者,因轻微咳嗽就诊,发现肺部病变并在几周内迅速增大;第二名患者是一名急性淋巴细胞白血病患者,因咯血就诊,影像学检查发现一个 5 厘米的肺周肿块堵塞了左肺动脉。两名患者均接受了积极的手术治疗。
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Lung resection from wedge to pneumonectomy as surgical options for pulmonary mucormycosis.

Pulmonary mucormycosis (PM) is a rare and life-threatening condition, most prevalent in immunocompromised patients. Early signs and symptoms are often nonspecific. A high index of suspicion in at risk patients should prompt early infectious work-up, including bronchoscopy, followed by aggressive antifungal therapy and early surgical resection when indicated. We demonstrate these core tenants of diagnosis and management of PM via two patient presentations, the first involving a kidney transplant recipient who presented with a mild cough, found to have a lung lesion with rapid growth over a few weeks; the second involving a patient with acute lymphoblastic leukemia who presented with hemoptysis and imaging revealing a 5 cm perihilar mass obliterating the left pulmonary artery. Both patients were managed with aggressive surgical therapy.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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