肺癌が疑われた孤立性肺毛細血管腫の1切除例
症例は51歳女性．健診の胸部CTで右S10に7 mm大のすりガラス影を認め，肺癌の疑いで胸腔鏡下右肺下葉部分切除術を施行．腫瘍は境界不明瞭な黒褐色の硬い8×7 mm大，拡張した毛細血管が密に増生していたが悪性所見は認めず，CD31陽性，CD34陽性で孤立性肺毛細血管腫と診断された．非常に稀な疾患であり，組織像が類似する肺毛細血管腫症や，早期肺癌との鑑別を含め若干の文献的考察を加えて報告する．...
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| Published in | 日本呼吸器外科学会雑誌 Vol. 31; no. 1; pp. 32 - 35 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本呼吸器外科学会
2017
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0919-0945 1881-4158 |
| DOI | 10.2995/jacsurg.31.32 |
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| Abstract | 症例は51歳女性．健診の胸部CTで右S10に7 mm大のすりガラス影を認め，肺癌の疑いで胸腔鏡下右肺下葉部分切除術を施行．腫瘍は境界不明瞭な黒褐色の硬い8×7 mm大，拡張した毛細血管が密に増生していたが悪性所見は認めず，CD31陽性，CD34陽性で孤立性肺毛細血管腫と診断された．非常に稀な疾患であり，組織像が類似する肺毛細血管腫症や，早期肺癌との鑑別を含め若干の文献的考察を加えて報告する． |
|---|---|
| AbstractList | 症例は51歳女性．健診の胸部CTで右S10に7 mm大のすりガラス影を認め，肺癌の疑いで胸腔鏡下右肺下葉部分切除術を施行．腫瘍は境界不明瞭な黒褐色の硬い8×7 mm大，拡張した毛細血管が密に増生していたが悪性所見は認めず，CD31陽性，CD34陽性で孤立性肺毛細血管腫と診断された．非常に稀な疾患であり，組織像が類似する肺毛細血管腫症や，早期肺癌との鑑別を含め若干の文献的考察を加えて報告する． |
| Author | 田中, 文啓 岩田, 輝男 門司, 祥子 |
| Author_xml | – sequence: 1 fullname: 岩田, 輝男 organization: 小倉記念病院呼吸器外科 – sequence: 1 fullname: 門司, 祥子 organization: 小倉記念病院呼吸器外科 – sequence: 1 fullname: 田中, 文啓 organization: 産業医科大学呼吸器・胸部外科 |
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| Copyright | 2017 特定非営利活動法人 日本呼吸器外科学会 |
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| References | 1. 竹内 健, 青木耕平, 福田祐樹, 儀賀理暁, 江口圭介, 中山光男. Pulmonary Solitary Capillary Hemangiomaの一切除例. 日呼外会誌 2012; 26: 719-23. 2. Fugo K, Matsuno Y, Okamoto K, Kusumoto M, Maeshima A, Kaji M, et al. Solitary Capillary Hemangioma of the Lung-Report of 2 Resected Cases Detected by High-Resolution CT-. Am J Surg Pathol 2006; 30: 750-3. 4. Isaka T, Yokose T, Ito H, Washimi K, Imamura N, Watanabe M, et al. Case of solitary pulmonary capillary hemangioma: pathological features based on frozen section analysis. Pathol Int 2013; 63: 615-8. 7. Wagenvoort CA, Beetstra A, Spijker J. Capillary haemangiomatosis of the lungs. Histopathology 1978; 2: 401-6. 8. 羽切周平, 吾妻寛之, 吉岡 洋. 胸部CTで肺癌を疑い切除した肺毛細血管腫 (capillary hemangioma of the lung) の1切除例. 肺癌 2010; 50: 841-5. 5. Matsushita M, Kawakami S, Matsushita T, Sugiyama Y, Endo M, Shimojo H, et al. Changes in CT density of solitary capillary hemangioma of the lung upon varying patient position. Jpn J Radiol 2012; 30: 772-6. 6. Sakaguchi Y, Isowa N, Tokuyasu H, Miura H. A resected case of solitary pulmonary capillary hemangioma showing pure ground glass opacity. Ann Thorac Cardiovasc Surg 2014; 20: 578-81. 3. 上神慎之介, 平井伸司, 三井法真, 松浦陽介, 濱中喜晴. 肺癌が疑われ手術を施行した孤立性の毛細血管腫の1例. 日呼外会誌 2008; 22: 641-4. |
| References_xml | – reference: 1. 竹内 健, 青木耕平, 福田祐樹, 儀賀理暁, 江口圭介, 中山光男. Pulmonary Solitary Capillary Hemangiomaの一切除例. 日呼外会誌 2012; 26: 719-23. – reference: 4. Isaka T, Yokose T, Ito H, Washimi K, Imamura N, Watanabe M, et al. Case of solitary pulmonary capillary hemangioma: pathological features based on frozen section analysis. Pathol Int 2013; 63: 615-8. – reference: 3. 上神慎之介, 平井伸司, 三井法真, 松浦陽介, 濱中喜晴. 肺癌が疑われ手術を施行した孤立性の毛細血管腫の1例. 日呼外会誌 2008; 22: 641-4. – reference: 5. Matsushita M, Kawakami S, Matsushita T, Sugiyama Y, Endo M, Shimojo H, et al. Changes in CT density of solitary capillary hemangioma of the lung upon varying patient position. Jpn J Radiol 2012; 30: 772-6. – reference: 6. Sakaguchi Y, Isowa N, Tokuyasu H, Miura H. A resected case of solitary pulmonary capillary hemangioma showing pure ground glass opacity. Ann Thorac Cardiovasc Surg 2014; 20: 578-81. – reference: 7. Wagenvoort CA, Beetstra A, Spijker J. Capillary haemangiomatosis of the lungs. Histopathology 1978; 2: 401-6. – reference: 2. Fugo K, Matsuno Y, Okamoto K, Kusumoto M, Maeshima A, Kaji M, et al. Solitary Capillary Hemangioma of the Lung-Report of 2 Resected Cases Detected by High-Resolution CT-. Am J Surg Pathol 2006; 30: 750-3. – reference: 8. 羽切周平, 吾妻寛之, 吉岡 洋. 胸部CTで肺癌を疑い切除した肺毛細血管腫 (capillary hemangioma of the lung) の1切除例. 肺癌 2010; 50: 841-5. |
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| Snippet | 症例は51歳女性．健診の胸部CTで右S10に7 mm大のすりガラス影を認め，肺癌の疑いで胸腔鏡下右肺下葉部分切除術を施行．腫瘍は境界不明瞭な黒褐色の硬い8×7... |
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| SubjectTerms | 孤立性肺毛細血管腫 早期肺癌 肺毛細血管腫症 |
| Title | 肺癌が疑われた孤立性肺毛細血管腫の1切除例 |
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