原发性肺肉瘤1例报告

病例徐××,男,88岁,离休干部,因为左肩关节疼痛1月,于2005年1月18日入院。入院时查体:一般状况略差,慢性病容,消瘦,神志清楚,体温36℃,脉搏80次/min,呼吸18次/min,血压125/70 mmHg,全身淋巴结未扪及肿大,双侧胸廓对称,左肺叩诊呈浊音,呼吸音低,双肺均未闻及干湿性罗音,心脏未见明显异常,腹部平软,全腹无压痛、反跳痛和移动性浊音,左侧肩关节活动无异常,双下肢无凹陷性水肿。入院后摄胸片,发现左上中肺巨大占位性病变。纤维支气管镜检查未见新生物,仅为支气管粘膜炎性表现,复查CT,见左上中肺均质性占位病变,大小约(8×10)cm,包膜完整,边界…     

肺Kaposi''''s肉瘤:附1例报告

患者,男性,26岁,否认同性恋患者.左前臂kaposi’s 肉瘤行左上肢截肢、左肩关节离断术后4月,左自发性气胸2月入院.查体:气管无移位,左肺呼吸音减弱.实验室检查:抗HIV三次阴性,T细胞亚群示CD_3、CD_4、CD_8值均减少,CD_4/CD_8比值减低,提示免疫功能低下.X线胸片示左肺压缩90%右肺压缩10%。经左胸闭式引流,负压吸引等积极保守治疗两月后左肺未见明显膨胀。     

肺Kaposi''''''''s肉瘤:附1例报告

患者,男性,26岁,否认同性恋患者.左前臂kaposi’s 肉瘤行左上肢截肢、左肩关节离断术后4月,左自发性气胸2月入院.查体:气管无移位,左肺呼吸音减弱.实验室检查:抗HIV三次阴性,T细胞亚群示CD_3、CD_4、CD_8值均减少,CD_4/CD_8比值减低,提示免疫功能低下.X线胸片示左肺压缩90%右肺压缩10%。经左胸闭式引流,负压吸引等积极保守治疗两月后左肺未见明显膨胀。     

肺滑膜肉瘤1例报告

病例男性,52岁,干咳2月,咯血4 d入院。2月前出现无诱因干咳,胸片未发现异常。4 d前出现咯痰带少量鲜血,不伴发热、胸痛、气紧。胸片及CT提示右肺下叶占位性病变。临床以肺癌行手术治疗,术中见右肺下叶外基底段3 cm×3cm×3 cm球形肿瘤,切面灰白,质细嫩,鱼肉状,包膜完整。切除送检。病理诊断:梭形细胞滑膜肉瘤。讨论滑膜肉瘤是一种独特的软组织肉瘤,好发于10~35岁之间,男性居多,病程一般较长,平均2~3年。多发于四肢,又以下肢最为多见。极少有发生于肺者,临床可有胸痛、咯血、气短、咳嗽等症状。X线常可发现钙化。大体切面灰白、质嫩,鱼网状…     

肺肉瘤样癌1例

1 病历简介 患者,女,76岁,因咳嗽、咳痰20余天入院.痰为白粘痰,偶有黄脓痰,无发热、盗汗、乏力,无喘憋等症状.查体: 双肺呼吸音粗,右上肺可闻及明显干湿性啰音.实验室检查: 白细胞 8.83×109/L,中性粒细胞73%,淋巴细胞20%,红细胞 3.70×1012/L,血红蛋白113g/l,氧总量 15.5ml/dl,二氧化碳总量 23.3mmol/l,肺泡动脉氧分压 44.2mmolHg,动脉血氧分压 0.67,结核分枝杆菌抗体阴性.     

右肺平滑肌肉瘤1例

患者男,65岁.发现右肺肿物5月,间断性咳嗽、咯血、右胸痛2月入院.患者于5个月前体检时发现右肺阴影,未诊治.近2月出现右胸痛且深吸气时加重,伴咳嗽、咯血(以痰中带血为主),无发热;2年前曾患"右大腿纤维肉瘤",在其它医院行手术及局部放疗.入院后X线检查示:右下肺野可见11.2cm×8.3cm的团块状密度较均匀增高影,边缘较光整(图1).     

肺原发性平滑肌肉瘤1例

病人,男性,47岁。咳嗽、咯血痰,偶有胸痛2月余。查体:右上肺呼吸音减弱,余肺呼吸音清晰,全身浅表淋巴结无肿大,余无异常。胸部正位X线片示:右上中肺野见一椭圆形肿块影,大小约9 cm×7.5 cm,密度尚均匀,边缘锐利。CT示:右肺上叶可见一巨大肿块影,大小约9.6 cm×8.1 cm×7.6 cm,边缘清楚,无毛束,密度不均一内可见低密度影,CT值29~38 Hu,考虑为肺纤维瘤或平滑肌瘤。术中见:右肺上叶一椭圆形肿物,大小约10 cm×8 cm×8巴结,行右肺上叶切除术。术后病理报告:右肺上叶平滑肌肉瘤。讨论肺原发性平滑肌肉瘤甚少见,以青壮年居多,男性多于女性。其…     

原发性肺肉瘤一例

病例资料，患，女，52岁。右胸前1个月。查体：右中下肺部语颤减弱，即诊浊音。胸部正侧位片示：右肺中下野浓密均匀阴影，心隔角和肋膈角消失（图1）。CT示：右肺下叶密度不均匀肿块，直径12cm，边缘光滑，无分叶，CT值35-95HU，肿块近边缘可见钙化斑，纵隔及肺门未见淋巴结肿大（图2）。     

A case report of primary pulmonary artery intimal sarcoma

Primary pulmonary artery sarcoma is a rare tumor that mimics pulmonary embolism. Patients may present with cough, dyspnea, chest pain, and weight loss. The diagnosis is challenging. Herein, we report a case of 29-year-old female patient who had presented with dyspnea, fatigue for 2 weeks. Computed tomography pulmonary angiography scan suggests pulmonary embolism. We decided to perform surgical embolectomy. The histopathological results, however demonstrated primary pulmonary artery intimal sarcoma. The patient died 1-month post-surgery because of respiratory and circulatory failure.     

CT findings of a large primary pulmonary myxoid sarcoma: A case report

Primary pulmonary myxoid sarcoma (PPMS) is an extremely rare malignant mesenchymal tumor of the lung, with only less than 40 cases reported. We described a case of a 64-years-old man with a mass on the medial and lower lobe of the right lung confirmed as a primary pulmonary myxoid sarcoma on biopsy. Diagnosis of this tumor remains challenging because of its nonspecific clinical and imaging characteristics. This study emphasizes CT finding to improve the understanding of PPMS.     

A case of pulmonary synovial sarcoma diagnosed with detection of chimera gene: imaging findings

Pulmonary synovial sarcoma is a rare disease, and reports detailing clinicians' radiological findings are few. We report a case of a primary pulmonary synovial sarcoma in a 68-year-old woman. Chest CT revealed a well-defined and homogeneous oval mass measuring 3x2.5 cm in the left lower lobe in contact with the visceral pleura. No pleural effusion was evident. No calcification or fat component was detected. The tumor showed homogeneous hypointensity on both T1- and T2-weighted MR imaging. In this case, a lung metastasis could be excluded with fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET), and the final diagnosis was histopathologically confirmed by the chimeric gene detection.     

肺转移性肉瘤误诊为肺曲菌球一例

患者 男,57岁,反复咳嗽、咯痰及痰中带血4年,加重伴活动后气促4 d.10年前因右上肢纤维肉瘤行截肢术.人院体检:呼吸略急促,右侧胸廓较左侧饱满,右肺呼吸音较左侧低.     

肾尤文肉瘤一例

患者男,26岁.右侧腰背部间隙性胀痛2周,于2009年11月10日入我院就诊.B超示右肾实质性占位性病变. CT检查:平扫右肾于肾门上方体积增大,见混杂密度影,高密度血块CT值68 HU,等密度肿瘤实质CT值35 HU,肾包膜下见半月形低密度影,未凝固的血液CT值14 HU.     

Primary pulmonary osteogenic sarcoma

A 56-year-old man initially presented to his family physician with tingling in the fingertips of his left hand. A chest radiograph revealed a left upper lobe mass. Local resection found a soft tissue osteogenic sarcoma. This is a report of a rare case of primary pulmonary osteogenic sarcoma. Received: 12 May 1999 Revision requested: 28 June 1999 Revision received: 11 January 2000 Accepted: 12 January 2000     

肺淋巴管平滑肌瘤病1例

患者女性,34岁。因咳嗽、咳痰、胸痛伴气促三月入院。查体:慢性病容,双第9肋下叩及浊音,下肺呼吸音减弱。肺功能测定:小气道功能中、重度降低,肺通气功能轻、中度降低(以限制性障碍为主),通气储备功能轻-中度降低,大气道功能正常。B超:双侧胸腔少量积液。胸水生化检查:蛋白51.8g/L,糖:4.46mmol/L,氯:4.48mmol/L,胸水涂片:在大量红细胞背景下,见大量嗜酸性细胞及淋巴细胞,胸水抽检:呈粉乳糜样,乳糜定性( ),李凡他试验( )。胸水病检:未见肿瘤细胞。免疫组织化学染色actin( ),desmin( ),CD34( ),HMB45( ),F-VIII( ),ER( ),PR( …     

前纵隔低度恶性纤维黏液样肉瘤一例

患者男,38岁.于5年前发现前上纵隔肿瘤,未做任何处理,患者于20 d前行CT检查发现肿瘤增大来我院就诊.体检未见明显异常.