支气管—肺囊肿的报道并不少见,而支气管—肺囊肿恶性变却较为罕见。搜集我院住院治疗的144例次中发现1例肺囊肿恶性变且有前后胸片动态的演变过程,现予以报道。 患女,60岁,2月前因低烧、咳嗽、吐痰、痰中带血,在当地医院就诊,根据患者2年半前胸部透视发现右上肺球性阴影及1988年9月5日和1990年12月28日自带胸片示右肺中上野有空洞性阴影,即按“肺脓疡”给予抗感染治疗,症状有所缓解,转来我院,以肺脓疡收住院。既往有慢性咳嗽病史30多年,常有感冒咳嗽、 Reports of bronchial-cystinum cysts are not uncommon, but malignant changes of bronchial-cystinum cysts are rare. The 144 cases of inpatient treatment in our hospital were found in 1 case of malignant transformation of the lung cyst and the evolution of the dynamics of the chest radiograph before and after, are reported. The woman, 60 years old, had suffered from low-grade fever, cough, spitting, and bloody sputum in the local hospital two months ago. He was diagnosed in the local hospital according to the patient’s two-and-a-half-year-old chest fluoroscopy. September 5, 1988 and 1990. On December 28th, chest X-ray film showed a hollow shadow in the right upper middle and upper lung, which was given anti-infective treatment according to “pulmonary abscess.” The symptoms were relieved. They were transferred to our hospital and were admitted to hospital with pulmonary abscess. He has a history of chronic cough for more than 30 years and often has a cold cough.