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患者男,42岁,因咳嗽、咯脓痰伴发热1月余就诊。体检:右肺呼吸音减低,余无异常发现。胸部平片示:右中下肺不张,右侧胸膜肥厚粘连;断层摄片示:隆突下3cm处中间段支气管内有弧面上凸的阻塞肿块阴影。纤支镜检:右中间段支气管内见圆形粉红色肿物,大部阻塞管腔,质软、可移动,表面光滑,活检疑为“乳头状瘤”而入院手术。术中见右侧胸膜腔闭塞,右中下叶肺实变,右小间段支气管
The patient was a 42-year-old man who had a fever for more than one month due to cough, impotence, and fever. Physical examination: The right lung breath sounds are reduced, and no abnormal findings are found. Chest plain film shows: right middle and lower lung atelectasis, right pleural thick adhesions; tomography film shows: 3cm below the carina in the middle segment of the bronchus within the arc surface convex obstruction mass shadow. Fibrobronchoscopy: In the right middle segment, a round pink tumor was seen in the bronchus. Most of the obstructed lumens were soft, removable, and the surface was smooth. The biopsy was suspected as a “papillary tumor” and was admitted to the hospital. During the operation, see the right pleural cavity occlusion, the right middle lobe lung consolidation, the right small intersegmental bronchus