肺纤毛黏液结节性乳头状肿瘤2例报告  

Ciliated muconodular papillary tumor of the pulmonary:report of two cases

作　　者：王宇[1] 闫继东[1] 张文超[1] 王伟[1] 任淑华[1] WANG Yu;YAN Jidong;ZHANG Wenchao;WANG Wei;REN Shuhua(Department of Thoracic Surgery,Tangshan Gongren Hospital Affiliated to Hebei Medical University,Tangshan,Hebei 063000,China)

机构地区：[1]河北医科大学附属唐山市工人医院胸外科,河北唐山063000

出　　处：《安徽医药》2021年第3期590-592,I0006,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨2例肺纤毛黏液结节性乳头状肿瘤的诊治,提高对该疾病的认识,以减少误诊。方法回顾性分析河北医科大学附属唐山市工人医院2017年11月收治的2例肺纤毛黏液结节性乳头状肿瘤的诊断治疗经过,参考相关文献,总结该类病人的临床特征和治疗经验。结果本组2例病人均在完善术前检查及胸外、影像、麻醉科多学科讨论后,考虑肺部肿瘤可能,全麻下行胸腔镜肺叶楔形切除术。术后常规病理确诊为纤毛黏液结节性乳头状肿瘤。均术后恢复满意,随诊22个月无并发症及影像异常。结论肺纤毛黏液结节性乳头状肿瘤是一种罕见的肺部肿瘤,早期无明显症状,手术效果良好。Objective To investigate the diagnosis of ciliated muconodular papillary tumor of the pulmonary,and to improve the un⁃derstanding of this disease,so as to reduce the rate of misdiagnosis.Methods The clinical data of 2 cases of ciliated muconodular papillary tumor of the pulmonary admitted to Tangshan Gongren Hospital Affiliated to Hebei Medical University in November 2017 were analyzed retrospectively,referencing to related literature and summing up the clinical features and treatment experience of these patients.Results After complete preoperative examination and multidisciplinary discussion in the departments of thoracic,radiogra⁃phy and anesthesiology,the possibility of lung tumor was considered in the 2 patients in this group,and thoracoscopic wedge resection was performed under general anesthesia.Routine pathology after surgery confirmed the diagnosis as ciliated mucinous nodular papillary tumor.Both patients recovered satisfily after surgery,and there were no complications or imaging abnormalities after 22 months of follow-up.Conclusion Ciliated muconodular papillary tumor of the pulmonary is a rare lung tumor with no obvious early symptoms,and the result of the surgery is good.

关 键 词：肺肿瘤 KI-67抗原 转录因子 纤毛黏液结节性乳头状肿瘤 黏液腺癌 临床特征 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]