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因胸腔穿刺而引起穿刺道肿瘤种植者,极为少见,现报告2例如下。例1男,40岁。因咳嗽、左胸痛1月余入院。X线检查左胸腔积液,曾6次胸穿均为草黄色液体,未查到癌细胞及抗酸杆菌,胸水检查:乳酸脱氢酶580u,间皮细胞>5％。胸穿8个月后左背部原穿刺部位皮下有一肿物逐渐肿大。查体:气管左移,左胸膨隆,左腋下淋巴结肿大,左肩胛线第9肋间有4×5cm肿物高出皮肤。纤支镜检查:左主支气管外压性狭窄,左上下叶支气管嵴增宽,左背部皮下肿物及左腋下淋巴结活检,病理报告:转移
It is extremely rare for a puncture tract tumor grower to be caused by thoracentesis. Example 1 Male, 40 years old. Because of cough, left chest pain was admitted to the hospital for more than one month. X-ray examination of the left pleural effusion, had six thoracentesis were grass yellow liquid, cancer cells and acid-fast bacilli were not found, pleural effusion examination: lactate dehydrogenase 580u, mesothelial cells> 5%. Eight months after thoracic puncture, the original puncture site on the left back had a swelling of the tumor. Physical examination: Left trachea, left chest bulging, and swollen lymph nodes in the left infraorbital area. There was a 4×5 cm mass above the 9th intercostal space of the left shoulder girdle. Fibrobronchoscopy: left main bronchus with external pressure stenosis, widening left and right lower lobe bronchial spasm, left back subcutaneous mass and left axillary lymph node biopsy, pathology report: metastasis