Vidurinės skilties sindromas, siejamas su bronchine antrakofibroze
Open Access
- 21 December 2020
- journal article
- Published by Vilnius University Press in Acta medica Lituanica
- Vol. 27 (2), 100-103
- https://doi.org/10.15388/amed.2020.27.2.8
Abstract
Bronchial anthracofibrosis has been defined as airway narrowing associated with dark pigmentation on bronchoscopy without an appropriate history of pneumoconiosis or smoking. We present a case of a 67-year-old, non-smoking female patient who was referred to our clinic for two years of persistent cough. Spirometry was within normal limits. Radiological evaluation showed right middle lobe atelectasis and positron emission tomography-positive mediastinal lymph nodes. Bronchoscopy revealed black airway discoloration and distortions. In conclusion, we propose monthly radiological controls before an invasive procedure in such cases if a strong suspicion of malignancy/tuberculosis is not present. Bronchinė antrakofibrozė – kvėpavimo takų susiaurėjimas, kai atlikus bronchoskopiją, matoma tamsi pigmentacija, o duomenų, kad pacientas būtų sirgęs pneumokonioze ar rūkytų nėra. Pristatomas 67 m. nerūkančios pacientės atvejis, kuri buvo nukreipta į mūsų kliniką dėl dvejus metus išliekančio kosulio. Spirometrijos tyrimo rezultatai atitinka normos ribas. Radiologinio tyrimo metu nustatyta dešiniosios vidurinės skilties atelektazė, o pozitronų emisijos tomografijos tyrimo rezultatas tarpuplaučio limfmazgiuose buvo teigiamas. Atlikus bronchoskopiją matomi pajuodę ir deformuoti kvėpavimo takai. Apibendrinant, tokiais atvejais, jei piktybinių darinių / tuberkuliozės neįtariama, prieš atliekant invazinę procedūrą, rekomenduojame kas mėnesį atlikti radiologinius tyrimus.This publication has 8 references indexed in Scilit:
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