Solitary Pulmonary Nodule Caused by Localized Pulmonary Infarction

局部性肺梗塞所導致的單一肺部結節

陳百璽(Pai-Hsi Chen) ； 張國明(Kuo-Ming Chang)

《胸腔醫學》 29卷5期 (2014/10) Pp. 310-316

摘要

對臨床醫師而言，從胸部的影像學檢查去發現單一肺部結節並不困難，但是要能夠正確的診斷，卻有一定的難度。我們要報導一位無任何胸部症狀的43歲的男性病患，因無意間被發現左側肺部單一結節而被轉至胸腔外科做進一步的診斷治療，經由數項針對肺部結節及腫瘤的檢查，仍然無法得到確切的診斷。最終，透過胸腔鏡輔助開胸術的方式，病患接受了肺部腫瘤的切除，而得到肺部梗塞的診斷。雖然肺部梗塞的發生率很低，但仍需將其列入肺部結節的鑑別診斷之中。

關鍵字

單一肺部結節 ； 肺部梗塞 ； 肺癌 ； 胸腔鏡輔助開胸術

並列摘要

Solitary pulmonary nodules are not hard to detect with a chest radiograph, but the physician needs experience to make a precise diagnosis. A solitary pulmonary nodule was incidentally found in the left upper lobe of an asymptomatic 43-year-old male who was then referred to our chest surgery department. Various tumor work-up examinations were done, but a definite diagnosis was not obtained. The final diagnosis of pulmonary infarction was gained from wedge biopsy of the tumor using video-assisted thoracic surgery. Although the incidence of pulmonary infarction is low, it should be included in the differential diagnosis of pulmonary nodules.

並列關鍵字

solitary pulmonary nodule ； pulmonary infarction ； lung cancer ； video-assisted thoracoscopic surgery