光和血:一个肺内封存病例伪装成肺阿斯伯吉隆瘤
Faisal Masood1, Anjana Murali1, Claire Fishman1
1Internal Medicine, University of Pennsylvania Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, pennmedicine.org.
Case reports in pulmonology
|March 11, 2026
概括
这份病例报告详细介绍了一名84岁的妇女,诊断出她患有内支气管肺部封存 (BPS),这是一种罕见的先天性肺部形. 这些发现强调了考虑老年患者出现复发性血栓塞的先天性异常的重要性.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 支气管肺封存 (BPS) 是一种罕见的先天性肺形.
- 内隔离 (ILS) 通常出现在儿童或成年早期.
研究的目的:
- 报告最古老的记录病例,该病例是84岁的妇女被诊断出肠壁支气管肺封存 (ILS).
- 强调考虑先天性肺异常在老年人复发性血栓塞的差异诊断中的重要性.
主要方法:
- 一个84岁的老妇人的病例介绍,患有复发性血栓塞.
- 诊断工作包括胸部CT扫描.
- 通过左下叶段切除术进行手术管理.
- 切除的肺组织的组织病理学检查.
主要成果:
- 胸部CT显示有固体成分的囊性变化,最初怀疑是真菌.
- 组织病理学证实了肺内支气管肺部封存 (ILS) 与异常的肺膜膜,扩张的空气空间,充满粘液的气道和扩大的血管.
- 没有发现任何真菌元素或微生物.
结论:
- 这种病例代表了在诊断ILS时最古老的报道年龄.
- 老年人复发性血需要广泛的差异诊断,包括罕见的先天性异常.
- 考虑ILS可以防止诊断定,并指导适当的多学科管理.
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