Assuntos
Traumatismos Abdominais/complicações , Traumatismos Abdominais/diagnóstico , Hemangioma/complicações , Hemangioma/cirurgia , Neoplasias Hepáticas/complicações , Neoplasias Hepáticas/cirurgia , Ferimentos não Penetrantes/diagnóstico , Acidentes de Trânsito , Serviço Hospitalar de Emergência , Evolução Fatal , Feminino , Hemangioma/patologia , Hemoperitônio/diagnóstico , Hemoperitônio/etiologia , Hepatectomia/métodos , Humanos , Rim/lesões , Laparotomia/métodos , Neoplasias Hepáticas/patologia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/fisiopatologia , Medição de Risco , Ruptura , Choque Hemorrágico/fisiopatologia , Ferimentos não Penetrantes/complicaçõesRESUMO
A nodular lesion in the medial segment of right middle lobe was discovered on a chest radiograph for chronic cough in a 42-year-old Asian woman. A chest computed tomography (CT) scan subsequently showed a right middle lobe (RML) nodular lesion, which exhibited intense fluorodeoxyglucose uptake on positron emission tomography scan. A thoracoscopic RML lobectomy was then performed and immunohistochemical study and Ki-67 proliferative index on the pathology sample demonstrated a benign granular cell tumor. Thirty-six months after surgery, the patient remains symptom-free and there has been no recurrence of the tumor on follow-up CT scan.
Assuntos
Tumor de Células Granulares/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Adulto , Feminino , Fluordesoxiglucose F18 , Tumor de Células Granulares/patologia , Tumor de Células Granulares/cirurgia , Humanos , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/cirurgia , Tomografia por Emissão de Pósitrons , Resultado do TratamentoRESUMO
Congenital cystic adenomatoid malformation of the lung is rare in adults. We present a 51-year-old man with recurrent lower respiratory tract infections and intermittent febrile episodes for more than 10 years. Multiple cavitary lesions with fluid accumulation were seen in the right lower lobe of the lung on radiography and computed tomography of the chest. Wedge resection of the right lower lobe of the lung was performed through a mini-thoracotomy using video-assisted thoracoscopy. Multiple infected cysts were found in a 10 x 8 x 6 cm area of lung. The histologic diagnosis was infected type I congenital cystic adenomatoid malformation. The patient remains well 1 year after the operation.
