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我院自1986年3月—1999年6月经手术及病理证实的肺海绵状血管瘤共4例,术前均误诊为周围型肺癌,现报告如下。1.临床资料 例1,女性,60岁。因查体发现右肺病灶6天入院。查体:双肺呼吸音清,未闻及干湿性罗音。胸片;右肺下野见3cm×3cm圆形团块影,边清,密度均匀,Ⅲ纤支镜检查:双肺气管内未见异常。癌细胞刷检(一),诊断为右周围型肺癌。行右肺中叶切除术,病理诊断:右肺中叶海绵状血管瘤。
A total of 4 cases of pulmonary cavernous hemangioma confirmed by surgery and pathology in our hospital from March 1986 to June 1999 were misdiagnosed as peripheral lung cancer before surgery. The report is as follows. 1. Clinical data Example 1, female, 60 years old. The right lung lesion was found on the hospital for 6 days as a result of the examination. Physical examination: The sounds of lungs were clear, and dry and damp rales were not heard. Chest radiograph; right lung under the field see 3cm × 3cm circular mass shadow, edge clear, uniform density, III fiber bronchoscopy: no abnormalities in the trachea of both lungs. Cancer brushing (1) was diagnosed as right peripheral lung cancer. Right middle lobe resection, pathological diagnosis: right middle lobe cavernous hemangioma.