A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right...A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respiratory function evaluation showed poor pulmonary function, with a forced expiratory volume in 1 second of 1070 ml (29.2% of predicted). Therefore, we first performed giant bullectomy by video-assisted thoracoscopic surgery. At 1 month after this operation, improvement of the forced expiratory volume in 1 second significantly to 2140 ml (80.1% of predicted) was observed. Therefore, we performed resection for the tumor. He was discharged after an uneventful postoperative course, and has remained in good condition for 6 months after the operation.展开更多
Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appea...Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appears radiologically as a hyperlucency due to air trapping and destruction of interstitial tissue and vascularity in alveolar wall’s. Misdiagnosed usually as pneumothorax so must be differentiated from other causes of Hyperlucency lung syndrom. Hereby a case of vanishing lung diagnosed primarily as a post TB lung destruction. Case Report: A sixteenth-year-old virgin female patient, with treated for TB for six months without radilogical improvement. CXR and CT scan revealed diffuse left lung hyperlucency, TB work up (sputum exam, washing by bronchoscopy) appears no active disease. Left pneumenctomy had done, grossly there are no lung pranchyma and microscopically no signs of TB in the specimen. The findings are consistent with Vanishing lung. Conclusions: An understanding of the broad differential diagnosis of pulmonary hyperlucency is necessary to determine the underlying cause and provide appropriate patient care.展开更多
文摘A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respiratory function evaluation showed poor pulmonary function, with a forced expiratory volume in 1 second of 1070 ml (29.2% of predicted). Therefore, we first performed giant bullectomy by video-assisted thoracoscopic surgery. At 1 month after this operation, improvement of the forced expiratory volume in 1 second significantly to 2140 ml (80.1% of predicted) was observed. Therefore, we performed resection for the tumor. He was discharged after an uneventful postoperative course, and has remained in good condition for 6 months after the operation.
文摘Background: Vanishing lung is a rare syndrome. It mainly affects young males who are smokers, it considered an advanced stage of bullous disease, where the entire lobe or lung paranchym is replaced by bullae, it appears radiologically as a hyperlucency due to air trapping and destruction of interstitial tissue and vascularity in alveolar wall’s. Misdiagnosed usually as pneumothorax so must be differentiated from other causes of Hyperlucency lung syndrom. Hereby a case of vanishing lung diagnosed primarily as a post TB lung destruction. Case Report: A sixteenth-year-old virgin female patient, with treated for TB for six months without radilogical improvement. CXR and CT scan revealed diffuse left lung hyperlucency, TB work up (sputum exam, washing by bronchoscopy) appears no active disease. Left pneumenctomy had done, grossly there are no lung pranchyma and microscopically no signs of TB in the specimen. The findings are consistent with Vanishing lung. Conclusions: An understanding of the broad differential diagnosis of pulmonary hyperlucency is necessary to determine the underlying cause and provide appropriate patient care.
