- 期刊
Use of Interventional Bronchoscopy to Manage Solitary Bronchial Squamous Papilloma with Malignant Change-A Case Report
使用治療性支氣管鏡來處置肺部癌化的鱗狀乳頭瘤：病例報告
摘要
一位74歲男性病患，伴有多種共病症（糖尿病、高血壓、中風），因腹主動脈瘤接受支架手術。在術後例行檢查中發現左主支氣管有小結節，接著接受支氣管鏡檢查確定左上葉開口處有一息肉狀結節。切片報告為鱗狀乳突瘤伴有中等程度異常（dysplasia）。於是病患接受多次雷射燒灼治療，每次間隔一個月。第三次燒灼前切片報告為鱗狀上皮細胞癌，因此續接受正子電腦斷層（PET-CT），正子結果為左上肺葉病灶和氣管前淋巴結信號增強。病患拒手術切除，續維持原先燒灼治療。在第五次燒灼前切片已沒有惡性細胞，目前在門診以自體螢光支氣管鏡定期追蹤。（胸腔醫學2012；27：167-172）
並列摘要
We reported a 74-year-old male patient with multiple comorbidities (diabetes mellitus, hypertension and stroke) who underwent endovascular aortic replacement due to abdominal aortic aneurism. In the postoperative follow-up, a nodule in the left main bronchus was found. Bronchoscopy confirmed a polyp-like lesion in the orifice of the left upper lobe. The biopsy report revealed a squamous cell papilloma with moderate dysplasia. Following that, electrocautery was performed monthly. The 3rd biopsy report revealed papillary squamous cell carcinoma. The patient then underwent positron emission tomography-computed tomography, which showed fluorodeoxyglucose-avid lesions in the left upper lobe and pretracheal lymph node. The patient refused operation and continued to undergo electrocautery. The biopsy report before the 5th electrocautery procedure began found no malignancy. Since then, he has been followed up regularly in our clinic with autofluorescence endoscopy. (Thorac Med 2012; 27: 167-172)
延伸閱讀
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