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首页> 外文期刊>Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia >Primary lung cancer arising from the wall of a giant bulla.
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Primary lung cancer arising from the wall of a giant bulla.

机译：原发性肺癌是由巨大的大疱壁引起的。

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摘要

We report a 58-year-old man who underwent surgical treatment of primary lung cancer arising from the wall of a giant bulla. Chest roentgenography and computed tomography revealed multiple emphysematous bullae in the bilateral upper lobes, and a right upper giant bulla with a mass measuring 6 cm arising on the bulla wall. Right upper lobectomy was performed, the postoperative pathological diagnosis was large cell carcinoma arising from the wall of a giant bulla. Although the postoperative course was uneventful and he was discharged, he underwent partial resection of the jejunum for recurrence of carcinoma in the jejunum, and postoperative chemotherapy, and he was alive 20 months after that operation. In general, patients with both pulmonary bullous disease and primary lung cancer have a very poor prognosis, because they receive treatment when the tumor is at an advanced stage. On the basis of our review of the literature, we recommend that middle-age male patients with a giant bulla who smoke should have annual chest roentgenography and/or chest computed tomography to screen for lung cancer arising in or close to the bullous disease, and that a giant bulla should be resected in patients older than 50 years because of the high incidence of coexisting cancer and bulla, to improve the prognosis of this disease.
机译：我们报道了一名58岁的男子，该男子接受了由巨大大疱壁引起的原发性肺癌的手术治疗。胸部X线断层扫描和计算机断层扫描显示双侧上叶有多个气肿性肺大疱，右上巨型大大疱在大疱壁上长出6 cm的肿块。进行了右上叶切除术，术后病理诊断为巨细胞壁引起的大细胞癌。尽管术后过程平稳，并且已出院，但由于空肠癌的复发，他接受了部分空肠切除术，并接受了术后化疗，并且在手术后20个月还活着。通常，患有肺大疱性疾病和原发性肺癌的患者预后很差，因为他们在肿瘤处于晚期时会接受治疗。根据我们对文献的回顾，我们建议抽烟的中年男性巨人吸烟患者应进行年度胸部X线断层扫描和/或胸部X线断层扫描，以筛查在大疱性疾病中或附近发生的肺癌，以及50岁以上的患者应切除巨大的大疱，因为癌症和大疱并存的可能性很高，以改善这种疾病的预后。

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