摘要
微小肺脑膜瘤样结节(MPMN)是一种较为罕见的呼吸道疾病,多无特异性临床表现,需经支气管或经皮肺穿刺活检进行诊断。本文报告了1例老年男性患者,以反复咳嗽、咳痰为主要表现,抗生素治疗无效,胸部CT发现右肺上叶后段块影提示肿瘤性病变,行CT引导下经皮肺穿刺活检术,病理诊断为MPMN合并肺组织感染。同时对34例国内外关于MPMN病例的临床特点、病理表现、诊断、治疗及预后进行了总结。
Minute pulmonary meningothelial-like nodule(MPMN)is a rare respiratory disease with no specific clinical manifestations and requires bronchial or percutaneous lung biopsy for diagnosis.Here we report a case of an old male patient with recurrent cough and sputum as the main manifestations,which failed to be cured by antibiotic.His chest computed tomography showed a mass-like tumorous lesion located in the posterior segment of the right upper lobe,and the pathological diagnosis by percutaneous lung biopsy confirmed MPMN with lung infection.At the same time,we reviewed 34 cases to summarize the clinical data,pathological manifestation,diagnosis,treatment,and prognosis of MPMN.
作者
谢林涧
周佳
XIE Linjian;ZHOU Jia(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of CQMU,Chongqing 400016,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2021年第3期494-500,共7页
Acta Academiae Medicinae Sinicae
基金
重庆市科卫联合医学科研项目(2019QNXM006)。
关键词
肺
微小脑膜瘤样结节
诊断
lung
minute pulmonary meningothelial-like nodule
diagnosis
