由典型的类癌引起的支气管囊肿的悠久历史
- 作者: Prusakova K.V.1, Gavrilov P.V.1
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隶属关系:
- Saint-Petersburg State Research Institute of Phthisiopulmonology
- 期: 卷 2, 编号 2 (2021)
- 页面: 223-230
- 栏目: 临床病例及临床病例的系列
- URL: https://journals.rcsi.science/DD/article/view/70922
- DOI: https://doi.org/10.17816/DD70922
- ID: 70922
如何引用文章
详细
本文提出了一个长期观察单个支气管囊肿(支气管原性保留囊肿)的临床病例。在最初的全面检查中,包括放射照相术,胸腔计算机断层扫描,纤维支镜检查,结核病的免疫学和细菌学检查等研究,没有发现改变的肿瘤和感染性的数据。这些变化被视为转移非特异性炎症过程的后果。15年后,在常规体检期间,根据胸腔的射线照相,注意到支气管的大小增加,以及支气管囊肿内侧部分圆形出现。在其他研究方法的帮助下(例如胸腔静脉造影的计算机断层扫描,活检的纤维支镜检查),确定检测到的形成是典型的类癌。
尽管在大多数情况下,支气管囊肿是一种良性变化,但从导致其发展的各种原因来看,有必要通过肿瘤来区分支气管囊肿的阻塞。在肺部肿瘤中,典型的类癌仅为1-2%,其特征在于极其缓慢的生长和没有特定的临床症状。尽管如此,典型的类癌属于第一类型恶性神经内分泌形成。在10-15%的病例中,检测到转移,主要在纵隔淋巴结中,以及在肝脏,骨骼中,在软组织中较少。
这一临床观察表明,即使对局部定位的支支气管囊肿的初步检查结果为阴性,这种变化也需要肿瘤警觉性和动态的定期检查。
作者简介
Ksenia V. Prusakova
Saint-Petersburg State Research Institute of Phthisiopulmonology
Email: ksenya.rush@mail.ru
ORCID iD: 0000-0002-3934-6290
clinical resident specializing in radiology
俄罗斯联邦, 2-4, Ligovskiy pr., Saint-Petersburg, 191036Pavel V. Gavrilov
Saint-Petersburg State Research Institute of Phthisiopulmonology
编辑信件的主要联系方式.
Email: spbniifrentgen@mail.ru
ORCID iD: 0000-0003-3251-4084
MD, Cand. Sci. (Med.)
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