Pseudocavitating bronchioloalveolar carcinoma followed over a decade.
Pseudocavitating bronchioloalveolar carcinoma followed over a decade.
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假性空洞型细支气管肺泡癌随后出现了十多年。
DOI：
10.1016/j.athoracsur.2007.10.031
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发表时间：
2008
影响因子：
4.6
通讯作者：
R. Thurer
中科院分区：
文献类型：
--
作者：
J. Shaw;P. Bejarano;R. Thurer
一位38岁的细支气管肺泡癌（BAC）女性有一个缓慢增长的空腔结节近十年。当她9年前因肺炎住院时，胸部计算机断层扫描显示一个1.5厘米的空腔状右上叶结节。在1年，3年和9年的计算机断层扫描显示结节缓慢生长至2.4 cm，相当于体积倍增时间为1494天。行胸腔镜活检和肺叶切除术。病理分析显示分化良好的粘液性BAC（T1N0M0）。孤立性BAC中的假空泡是罕见的。在这种情况下，可能需要更长时间的监测来排除恶性肿瘤。手术切除仍是治疗的主要手段。
A 38-year-old woman with bronchioloalveolar carcinoma (BAC) had a slow-growing cavitary nodule for nearly a decade. When she was hospitalized because of pneumonia 9 years earlier, a chest computed tomography scan showed a 1.5-cm cavitary right upper lobe nodule. At 1, 3, and 9 years computed tomography scans showed slow growth of the nodule to 2.4 cm, corresponding to a volume doubling time of 1494 days. Thoracoscopic biopsy and lobectomy were performed. Pathologic analysis revealed a well-differentiated mucinous BAC (T1N0M0). Pseudocavitation in solitary BAC is rare. A longer period of surveillance may be required to rule out malignancy in this setting. Surgical resection remains the mainstay of therapy.