肺畸胎瘤一例
Cancer Research and Clinic（2001）
Abstract
患者女,36岁.因反复发热、咳嗽、咯血4年入院.体检:体温37.6℃,右肺呼吸动度较左侧稍弱,右中肺野语颤减低,叩诊呈浊音,呼吸音减低,并可闻及干罗音及湿罗音.CT扫描提示右肺中叶囊状病灶,支气管造影显示右肺中叶、上叶支气管扩张.术中所见:右肺中叶及上叶前段明显实变,与前缘壁胸膜及纵隔、心包、下肺紧密黏连,纵隔淋巴结明显肿大.行右肺上中叶切除术.病理检查:右肺上中叶明显实变,上叶下部见一厚壁囊腔,直径约3 cm,壁灰白,附有毛发.壁周可见多个小脓腔,并有灶性出血,两肺叶黏连.镜检:肺上叶囊腔壁衬鳞状上皮,其下见较多皮脂腺、汗腺、毛囊及脂肪、平滑肌组织.病理诊断:右肺上叶成熟囊性畸胎瘤并慢性化脓性炎症.
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