Huge Pulmonary Cryptococcoma Treated with Pneumonectomy: A Case Report

手術切除巨大肺隱孢球菌瘤：病例報告及文獻回顧

溫偉東(Wei-Tong Woon) ； 吳沼漧(Chao-Chien Wu) ； 吳自成(Tzu-Cheng Wu) ； 謝敏璋(Ming-Jang Shieh)

《胸腔醫學》 18卷6期 (2003/12) Pp. 519-524

https://doi.org/10.29806/TM.200312.0007

摘要

隱孢球菌感染在肺部的表現是多樣性的，但大部份是以單獨或多個肺結節、肺小葉或肺大葉肺性肺實質化病變來表現。以巨大腫瘤樣的形能來表現是不常見的。我們報告一位47歲的健康男性，其肺部隱孢球菌感染是以肺腫瘤的形態來表現，同時對單獨藥物治療效果不彰，最後病人是以左肺切除併用抗黴菌藥物治療。據此，肺部隱孢球菌感染若對內科治療失敗，可考慮外科手術治療。同時隱孢球菌感染可能要列入肺腫塊的鑑別診斷。我們並且回顧了隱孢球菌感染的診斷及處置的相關回顧。

關鍵字

肺隱孢球菌感染 ； 隱孢球菌瘤 ； 肺切除術

並列摘要

The pulmonary manifestations of cryptococcosis are diverse but most commonly include single or multiple pulmonary nodules and segmental or lobar consolidation. A large mass-like pattern is an uncommon finding. We report a case of 47-year-old healthy male presenting with a large pulmonary cryptococcoma with poor response to medical treatment alone. The patient was satisfactorily treated with a left pneumonectomy under cover of fluconazole therapy. Thus, thoracic surgery may be indicated in the event of a failure of medical therapy, and pulmonary cryptococcosis should be considered in the differential diagnosis of a mass lesion. Literature concerning the diagnosis and management of pulmonary cryptococcosis is also reviewed.

並列關鍵字

pulmonary cryptococcosis ； cryptococcoma ； pneumonectomy