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患者,男性,53岁。半年前出现咳嗽、胸闷,偶有带血丝样痰。在当地医院进行 X 线透视检查,未发现占位样病变。诊断为支气管炎。症状时有反复并渐趋加重。于3个月前来我院拍 X 线胸片,发现左肺门处有软组织密度肿块,病灶边凸凹不光整,纵隔影增宽,左上叶支气管狭窄。经纤维支气管镜检查,取材证实为肺腺癌。因考虑到纵隔已有转移,故行非手术治疗。近日体质明显消瘦。为了解病变发展情况.做胸部 CT 检查。CT 发现左上胸廓稍显塌陷,纵隔向左移位,左主支气管阻塞,左肺尖～左肺门有边缘凸凹不平软组织密度团块样病灶,病灶内密度不甚均匀,
Patient, male, 53 years old. Half a year ago there was cough, chest tightness, and occasional blood-like sputum. X-ray examinations were performed at a local hospital and no lesions were found. Diagnosis is bronchitis. Symptoms are repeated and gradually worsening. At the 3rd month before our hospital took X-ray, it was found that there was a soft-tissue mass at the left hilum, the lesions were not convex, the mediastinum was widened, and the left upper lobe was narrow. After fiberoptic bronchoscopy, the material was confirmed as lung adenocarcinoma. Because of the transfer of the mediastinum, non-surgical treatment is considered. Recently the body was obviously thin. To understand the development of lesions, chest CT examinations were performed. CT found a slight collapse of the left upper thorax, left mediastinal shift, left main bronchus obstruction, left apical to left hilum with marginal irregular soft tissue density mass lesions, lesion density is not uniform,