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胸腔病例(三七○)支氣管囊腫

摘要


支氣管囊腫(bronchogenic cyst)為少見的先天性肺部發育病變(congenital thoracic malformation)。成人通常無症狀,而常見的症狀源自於支氣管囊腫的併發症,包含感染或其他呼吸道症狀。雖為良性病灶,但仍有惡性腫瘤的可能。本篇由一無症狀的臨床案例作開端,藉由其診斷、手術切除、病理組織學診斷的過程,引導出支氣管囊腫的介紹。診斷方式以影像學以及組織學診斷為主。而治療方法以手術為唯一根除性治療方法。手術目的除避免併發症外,還有取得檢體以確認有無惡性腫瘤的變化。大部分的患者預後良好。

參考文獻


Reichelt O, Grieser T, Wunderlich H, et al. Bronchogenic cyst. A rare differential diagnosis of retroperitoneal tumors. Urol Int 2000;64:216-9.
Berrocal T, Madrid C, Novo S, et al. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 2004;24:e17.
Limaïem F, Ayadi-Kaddour A, Djilani H, et al. Pulmonary and mediastinal bronchogenic cysts: a clinicopathologic study of 33 cases. Lung 2008;186:55-61.
St-Georges R, Deslauriers J, Duranceau A, et al. Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg 1991;52:6-13.
Casagrande A, Pederiva F. Association between Congenital Lung Malformations and Lung Tumors in Children and Adults: A Systematic Review. J Thorac Oncol 2016;11:1837-45.

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