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Primary Endobronchial Minute Leiomyoma-A Case Report

原發性支氣管內細平滑肌瘤-病例報告

摘要


原發性支氣管內平滑肌瘤為一罕見的肺部良性腫瘤,我們在此報告一位羅患原發性支氣管內平滑肌瘤的78歲男性病人。病人因為咳血至醫院求診,給與安排支氣管內視鏡檢查,於左上肺葉的位置發現一個0.1×0.1公分的囊性腫瘤,病理報告為一“平滑肌瘤”。此一個囊性腫瘤於支氣管內視鏡下,利用forceps完整將其完全切除。我們給與進一步的檢查,並沒有發現其他原發性或轉移病灶,故確定此囊性腫瘤為一個原發性支氣管內平滑肌瘤。經過支氣管內視鏡下切除此囊性腫瘤,病人不再發生咳血現象。

並列摘要


Primary endobronchial minute leiomyoma is a rare benign tumor of the lung. In this report, we discuss a case of this rare tumor in a 78-year-old male who presented with hemoptysis and was diagnosed as endobronchial leiomyoma based on the histopathological examination of a bronchial biopsy from the posterior segmental bronchus of the left upper lobe. Bronchofiberscopy revealed a polypoid tumor (0.1×0.1 cm) in the posterior segmental bronchus of the left upper lobe, which was easily extirpated by transbronchial forceps biopsy. We could not find another primary lesion or metastases in any other organ. Following treatment, this patient has been asymptomatic with no recurrence of haemoptysis.

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