Pulmonary Mucoepidermoid Carcinoma Mimicking Catamenial Hemoptysis-A Case Report

肺部黏液表皮樣癌以類似月經性咳血表現－病例報告

陳家閔(Chia-Min Chen) ； 蔡佩倩(Pei-Chien Tsai) ； 周世華(Shah-Hwa Chou) ； 蔡志仁(Chee-Yin Chai) ； 黃吉志(Jhi-Jhu Huang) ； 鍾飲文(Inn-Wen Chong)

《胸腔醫學》 30卷3期 (2015/06) Pp. 150-156

摘要

肺部黏液表皮樣癌是一少見疾病，常以呼吸道管腔內的腫瘤表現並導致呼吸道阻塞。我們報告一位26歲女性於月經週期或月經週期數天前咳血並有自發性氣胸，根據月經性咳血的病史初診斷為胸部子宮內膜異位症候群，但經由電腦斷層發現疑似氣管內腫瘤並經由支氣管鏡於左側主支氣管內確認腫瘤。她接受支氣管袖狀切除腫瘤且病理切片報告診斷為低惡性度黏液表皮樣癌，術後恢復良好並持續於門診追蹤。病患以月經性咳血表現時，除考慮胸部子宮內膜異位症候群外，臨床醫師應亦考慮支氣管內腫瘤的可能性。

關鍵字

黏液表皮樣癌 ； 肺癌 ； 咳血

並列摘要

Pulmonary mucoepidermoid carcinoma is a rare disease with a common presentation as an intraluminal mass leading to airway obstruction. We reported a 26-year-old woman who suffered from hemoptysis during or a few days before every menstrual period, and spontaneous pneumothorax. The initial clinical impression was thoracic endometriosis syndrome due to the presence of catamenial hemoptysis. However, computed tomography revealed a suspicious mass-like lesion in the left main bronchus and bronchoscopy confirmed the presence of an endobronchial tumor. She underwent sleeve bronchial resection of the tumor and pathological examination revealed low-grade mucoepidermoid carcinoma. She had an uneventful recovery and was continuously followed in our clinic. For patients presenting with catamenial hemoptysis, endobronchial tumor should be considered, in addition to thoracic endometriosis syndrome.

並列關鍵字

mucoepidermoid carcinoma ； lung cancer ； hemoptysis