INTRAPULMONARY LYMPH-NODES

被引:3
作者
KINOSHITA, A
NAKANO, M
SUYAMA, N
INOUE, K
NAKATA, T
FUJIMOTO, S
SHIGEMATSU, K
OKA, M
HARA, K
机构
[1] Nagasaki and the Second Department of Internal Medicine, Nagasaki
[2] Department of Internal Medicine, Nagasaki City Hospital, Nagasaki 850
[3] Surgery, Nagasaki City Hospital, Nagasaki University School of Medicine, Nagasaki
[4] Radiology, Nagasaki City Hospital, Nagasaki University School of Medicine, Nagasaki
[5] Pathology, Nagasaki City Hospital, Nagasaki University School of Medicine, Nagasaki
关键词
COIN LESION; PULMONARY NODULE; THORACOSCOPY;
D O I
10.2169/internalmedicine.33.727
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report two cases of intrapulmonary lymph nodes detected by a chest roentgenogram or CT scan. The first patient was a 61-year-old fisherman referred complaining of cough and hemosputum. Chest roentgenogram showed a subpleural small nodular shadow at the superior segment of the right lower lobe. Thoracotomy showed a small anthractotic lymph node. The other case was a 68-year-old female patient admitted for further examination of a subpleural small nodular shadow at the latero-basal segment of the left lower lobe detected on a chest CT scan. Thoracoscopic surgery revealed that the black nodule was an anthracotic lymph node. The appearance of an intrapulmonary lymph node on radiological examination is rare, however, it should be considered in the differential diagnosis of a solitary or multiple peripheral pulmonary nodules in adults. A small nodular shadow should be resected if malignancy is suspected though not proven. Subpleural intrapulmonary lymph node warrants thoracoscopic surgery.
引用
收藏
页码:727 / 729
页数:3
相关论文
共 14 条
[1]  
Greenberg H.B., Benign subpleural lymph node appearing as a pulmonary “coin” lesion, Radiology, 77, (1961)
[2]  
Nakagawa Y., Tsukiyama K., Soejima R., Et al., A benign subpleural lymph node presenting as a coin lesion, Jpn J Chest Dis, 48, (1989)
[3]  
Nomori H., Ono Y., Morinaga S., Differentiation of intra-pulmonary lymph nodes from intra-pulmonary metastasis, Jpn J Thoracic Dis, 28, (1990)
[4]  
Hashimoto Y., Takishita Y., Bando H., Et al., A case of intrapulmonary lymph node from simulating small carcinoma of the lung, Jpn J Thoracic Dis, 28, (1990)
[5]  
Isobe T., Tsuya T., Yoshida Y., Et al., An intrapulmonary lymph node presenting as a pulmonary coin lesion, Jpn J Chest Dis, 51, (1992)
[6]  
Shinohara Y., Iwanami H., Narita K., Et al., Subpleural intrapulmonary lymph node mimicking lung cancer nodular lesion: report of two cases, Jpn J Chest Dis, 51, (1992)
[7]  
Nagasaki F., Okada H., Imai H., Kim Y., Takasu K., Two cases of intrapulmonary lymph nodes indistinguishable from small peripheral carcinoma of the lung, Jpn J Lung Cancer, 32, (1992)
[8]  
Yoshii C., Hamada M., Tao Y., Et al., A case of intrapulmonary lymph node with silicotic nodules in a patient with idiopathic interstitial pneumonia, Jpn J Thoracic Dis, 31, (1993)
[9]  
Makita S., Kamimura R., Kobayashi T., Et al., Two cases of intrapulmonary lymph nodes: Especially about findings on high resolution computed tomography, J Med Imag, 13, (1993)
[10]  
Horie Y., Nakamura K., Yasuda K., Et al., A case of subpleural intrapulmonary lymph node and review of the Japanese literature, Byori to Rinsho, 11, (1993)