支气管黏液表皮样癌并文献复习  

Discussion on mucoepidermoid bronchial tumor combined with documents

作　　者：杨增[1] 刘志东[2] 梁子坤[2] 高胜华[1] 

机构地区：[1]首都医科大学附属北京天坛医院胸外科,北京100050 [2]首都医科大学附属北京胸科医院胸外科,北京101149

出　　处：《中国肿瘤临床与康复》2010年第5期404-406,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨支气管黏液表皮样癌的临床表现及影像学特点、诊断及治疗方法,以提高临床诊治水平。方法回顾2例支气管黏液表皮样癌的特点,并结合文献复习进行分析。结果患者术前均行支气管镜检查发现病变,术中见肿瘤局限,与周围组织无浸润,手术切除病灶,均行支气管成形术,术中冰冻和术后石蜡切片病理及免疫组织化学证实为支气管黏液表皮样癌,恢复顺利,痊愈出院。结论支气管黏液表皮样癌罕见,易误诊,确诊有赖于支气管镜检查及病理,手术是治疗的首选方法,条件允许时,应多采用支气管成形术。Objective To discuss clinical manifestation,image finding,diagnosis and treatment of mucoepidermoid bronchial tumor,and to improve diagnosis and treatment of mucoepidermoid bronchial tumor. Methods The clinical feature of two cases were reviewed and combined with documents. Results Bronchoscopy is adopted before operation in all cases. The tumor is found limited and without infiltration during operation. The tumor is exairesised with bronchoplasty,which is confirmed to be mucoepidermoid bronchial tumor by freezing,paraffin section and immunohistochemistry. Patients are discharged with fully recov-ery. Conclusion Mucoepidermoid bronchial tumor is rare and easy be misdiagnosised. Final diagnosis depends on bronchoscopy and pathology. The preferential treatment is operation. Bronchoplasty shoud be applied possibly.

关 键 词：支气管黏液表皮样癌 病理 支气管镜检查 手术治疗 

分 类 号：R734.1[医药卫生—肿瘤] R730.5[医药卫生—临床医学]