肺大泡伴双肺弥漫性结节一例并文献复习

doi:10.3881/j.issn.1000-503X.10568

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2018, Vol. 40 ›› Issue (5): 710-713.doi: 10.3881/j.issn.1000-503X.10568

• Case Reports • Previous Articles Next Articles

Pulmonary Bulla and Bilateral Diffusely-distributed Nodules: Report of One Case and Literature Review

QIAO Yixian¹, LUO Jinmei¹(), XIAO Yi¹, ZHAO Dachun²

1 Department of Respiratory Medicine, CAMS and PUMC,Beijing 100730,China
2 Department of Pathology, PUMC hospital, CAMS and PUMC,Beijing 100730,China;

Received:2018-05-23 Online:2018-10-30 Published:2018-11-07
Contact: Jinmei LUO E-mail:palmljm@126.com
Supported by:
Supported by the National Natural Sciences Foundation of China(81570085)

Abstract

Abstract:

Lung cancer is mostly characterized by a pulmonary solid mass on CT. In rare cases,patients do not have these typical manifestation but present with diffusely-distributed small nodules and pulmonary bullae,which can easily be misdiagnosed. A special case of lung adenocarcinoma was managed in our hospital from September 24th to December 19th in 2016. Under high-resolution CT,multiple nodules were seen in both lungs,mostly in the upper lungs,involving the pleura and interlobular fissures. Some nodules had cystic changes. A large bulla was seen in the left upper lung. Its wall was thickened with multiple nodules. Lung adenocarcinoma was pathologically confirmed.

Key words: lung cancer, pulmonary nodules, pulmonary bulla, diagnosis

CLC Number:

R734.2
R447

QIAO Yixian,LUO Jinmei,XIAO Yi,ZHAO Dachun. Pulmonary Bulla and Bilateral Diffusely-distributed Nodules: Report of One Case and Literature Review[J].Acta Academiae Medicinae Sinica, 2018, 40(5): 710-713.

Figures/Tables 2

References 10

[1]	Vassallo R, Ryu JH, Schroeder DR , et al. Clinical outcomes of pulmonary Langerhans’-cell histiocytosis in adults[J]. N Engl J Med, 2002,346(7):484-490. DOI: 10.1056/NEJMoa012 087. doi: 10.1056/NEJMoa012 087 pmid: 11844849
[2]	Mason RH, Foley NM, Branley HM , et al. Pulmonary Langerhans cell histiocytosis(PLCH):a new UK register[J]. Thorax, 2014,69(8) 766-767. DOI: 10.1136/thoraxjnl-2013-204313. doi: 10.1136/thoraxjnl-2013-204313
[3]	Bass HE, Singer E . Co-existing lobar adenocarcinoma and cystic disease of the lung[J]. Ann Intern Med, 1951,34(2):498-507. doi: 10.1017/S1751731109991662 pmid: 14800221
[4]	Tsutsui M, Araki Y, Shirakusa T , et al. Characteristic radiographic features of pulmonary carcinoma associated with large bulla[J]. Ann Thorac Surg, 1988,46(6):679-683. DOI: 10. 1016/s0003-4975(10)64733-9. doi: 10. 1016/s0003-4975(10)64733-9 pmid: 3058062
[5]	Goldstein MJ, Snider GL, Liberson M , et al. Bronchogenic carcinoma and giant bullous disease[J]. Am Rev Respir Dis, 1968,97(6):1062-1070. DOI: 10.1164/arrd.1968.97.6P1. 1062. doi: 10.1164/arrd.1968.97.6P1. 1062 pmid: 5658877
[6]	Kaneda M, Tarukawa T, Watanabe F , et al. Clinical features of primary lung cancer adjoining pulmonary bulla[J]. Interact Cardiovasc Thorac Surg, 2010,10(6):940-944. DOI: 10.1510/icvts.2010.233551. doi: 10.1510/icvts.2010.233551 pmid: 20299444
[7]	Zulueta JJ, Bloom SM, Rozansky MI , et al. Lung cancer in patients with bullous disease[J]. Am J Respir Crit Care Med, 1996,154(2 Pt 1):519-522. DOI: 10.1164/ajrccm.154.2.8756831. doi: 10.1164/ajrccm.154.2.8756831 pmid: 8756831
[8]	Erne BV, Graff M, Klemm W , et al. Bulla in the lung[J]. Lancet, 2012,380(9849):1280. DOI: 10.1016/S0140-6736(12)60690-4. doi: 10.1016/S0140-6736(12)60690-4
[9]	Iwama E, Okamoto I, Yabuuchi H , et al. Characteristics of smoking patients with lung cancer with emphysematous bullae[J]. J Thorac Oncol, 2016,11(9):1586-1590. DOI: 10.1016/j.jtho.2016.04.024. doi: 10.1016/j.jtho.2016.04.024
[10]	Hanaoka N, Tanaka F, Otake Y , et al. Primary lung carcinoma arising from emphysematous bullae[J]. Lung Cancer, 2002,38(2):185-191. DOI: 10.1016/s0169-5002(02)00186-1. doi: 10.1016/s0169-5002(02)00186-1 pmid: 12399131

[1]	XU Xiaoli,SONG Wei,SUI Xin,SONG Lan,HUANG Yao,WANG Xiao,JIN Zhengyu. Features and Prospects of Dual-energy Computed Tomography for Evaluation of Lung Cancer [J]. Acta Academiae Medicinae Sinica, 2019, 41(2): 273-277.
[2]	LIU Mengqi,LIU You,CHEN Zhiye. Ependymoma in Sellar Region:Report of One Case [J]. Acta Academiae Medicinae Sinica, 2019, 41(1): 139-142.
[3]	LIU Jia,WANG Ying,ZHANG Bo. Advances in Diagnosis and Treatment of Thyroid Cancer in Children and Adolescents [J]. Acta Academiae Medicinae Sinica, 2018, 40(6): 838-842.
[4]	YU Jianü,SHA Yue,GUO Shubin. Research Advances in Big Data-based Diagnosis and Therapy of Heart Failure [J]. Acta Academiae Medicinae Sinica, 2018, 40(6): 843-846.
[5]	WU Xin,LI Binglu,ZHENG Chaoji,HE Xiaodong. Diagnosis and Treatment of Epithelioid Hemangioendothelioma [J]. Acta Academiae Medicinae Sinica, 2018, 40(5): 667-672.
[6]	LI Lihui,HUANG Houbin,CHEN Zhiye. Contrast Enhanced T2 Fluid-attenuated Inversion Recovery Imaging in Diagnosing Macular Edema Caused by Retinal Vein Occlusion:Report of One Case [J]. Acta Academiae Medicinae Sinica, 2018, 40(5): 719-722.
[7]	FEI Guijun, ZHANG Lifan, SHU Huijun. Values of Different Laboratory Diagnostic Approaches for Tuberculous Peritonitis [J]. Acta Academiae Medicinae Sinica, 2018, 40(4): 534-538.
[8]	YIN Yuefei, LI Yun, CHEN Yali, ZHANG Dekui. Application of Digestive Endoscopy in Diagnosis of Helicobacter Pylori Infection [J]. Acta Academiae Medicinae Sinica, 2018, 40(4): 563-567.
[9]	XU Huan, ZHANG Xiaohuan, WANG Kun, FAN Wenping, WANG Xue, YUN Jie, CHEN Zhiye. Diagnostric Value of Contrast-enhanced T2 Fluid-attenuated Inversion Recovery Imaging for Splenic Hemangioma:A Case Report [J]. Acta Academiae Medicinae Sinica, 2018, 40(4): 573-576.
[10]	ZHANG Jiaying, ZHU Lei, YANG Hongkuan, CHEN Fang. Research Advances in CIMAvax-EGF for Non-small-cell Lung Cancer [J]. Acta Academiae Medicinae Sinica, 2018, 40(3): 411-414.
[11]	XU Huan, WANG Botao, WANG Kun, WANG Xue, FAN Wenping, CHEN Zhiye. Epidermoid Cyst in the Fourth Ventricle:Report of One Case [J]. Acta Academiae Medicinae Sinica, 2018, 40(3): 436-438.
[12]	LI Ningning, BAI Chunmei, WANG Yingyi, GE Yuping, ZHAO Lin. Clinical Analysis of 25 Cases of Malignant Peritoneal Mesothelioma [J]. Acta Academiae Medicinae Sinica, 2018, 40(2): 211-218.
[13]	Transition in A CellsWANG Yongqiang, LIU Zihou, SHU Jie, TANG Shene, LUO Fanyan. Galectin3 Regulates Transforming Growth Factor-β-induced Epithelial-mesenchymal [J]. Acta Academiae Medicinae Sinica, 2018, 40(2): 219-224.
[14]	Jie BAI, Zhihong WANG. Diagnosis and Treatment of Acute Intermittent Porphyria [J]. Acta Academiae Medicinae Sinica, 2017, 39(6): 836-840.
[15]	Mingqiang ZHANG, Jinming GAO. Clinical Analysis of 77 Patients with Allergic Bronchopulmonary Aspergillosis in Peking Union Medical College Hospital [J]. Acta Academiae Medicinae Sinica, 2017, 39(3): 352-357.

Acta Academiae Medicinae Sinica

Home

About Journal

Current Issue

Archive

Search

Contact Us

中文

Pulmonary Bulla and Bilateral Diffusely-distributed Nodules: Report of One Case and Literature Review

RichHTML

PDF (PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 10

Related Articles 15

Metrics

Recommended 10