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Gac. méd. Méx ; 143(4): 345-347, jul.-ago. 2007. ilus
Article in Spanish | LILACS | ID: lil-568654

ABSTRACT

El caso correspondió a un hombre de 71 años en el que se detectó incidentalmente una tumoración en ápice pulmonar izquierda de aproximadamente 4.5 cm de diámetro, asociada al antecedente de tabaquismo intenso. Se realizó broncoscopia, toma de biopsia y punción transtorácica, sugiriendo carcinoma epidermoide. En los controles radiológicos subsecuentes, se observó crecimiento de la lesión de 4.5 cm a 5 cm en un lapso de tres meses, motivo por el cual se decidió realizar tumorectomía mediante toracotomía posterolateral izquierda. La evolución postoperatoria fue satisfactoria y el diagnóstico histopatológico final fue de hamartoma pulmonar.


A 71-years-old man presented with an incidentally finding of a tumor in the left pulmonary apex that measured approximately 4.5 cm of diameter. The patient, had de preceding of chronic smoking. Bronchoscopy with biopsy by transthoracic punction suggested the presence of epidermoid carcinoma. In the radiologic control, an increase in tumor size from 4.5 cm to 5 cm of the lesion was observed in a period of three months. The patient was submited to surgery and a tumorectomy by posterolateral thoracotomy was performed. The postoperatory evolution was satisfactory. The final diagnosis was hamartoma of the lung.


Subject(s)
Humans , Male , Aged , Hamartoma , Lung Neoplasms , Disease Progression , Biopsy , Bronchoscopy , Carcinoma, Squamous Cell/diagnosis , Diagnosis, Differential , Hamartoma/diagnosis , Hamartoma/pathology , Hamartoma , Hamartoma/surgery , Lung Neoplasms/diagnosis , Lung Neoplasms/pathology , Lung Neoplasms , Lung Neoplasms/surgery , Lung/pathology , Radiography, Thoracic , Thoracotomy , Time Factors , Tomography, X-Ray Computed
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