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宮澤, 知行; 尾高, 真; 浅野, 久敏; 丸島, 秀樹; 山下, 誠; 森川, 利昭
日本呼吸器外科学会雑誌, 2015, Volume: 29, Issue: 4Journal Article
今回我々は肺嚢胞内に発育し進展した肺癌肉腫症例を経験した.症例は62歳男性.健診にて10年前より左肺嚢胞を指摘されていた.健診にて肺内の腫瘤影を指摘され当科を紹介受診した.胸部CTでは左肺S1+2に65 mm大の腫瘤で,FDG-PETではSUVmax17.1と集積を認めた.左肺癌と診断し,左肺上葉切除を胸腔鏡下に成功裡に施行しえた.術後経過は良好で第7病日に退院した.病理学診断は肺癌肉腫であった.本症例は一般的に悪性度の高い癌肉腫が嚢胞外に浸潤せず,嚢胞内に発育進展した点が非常に興味深い.
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