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患者男性,46岁,干部 因反复左下腹疼痛,大便次数增多4年,加重1月于1998年4月13日入院体检:体温36.6℃,脉搏80次/min,呼吸20次/min,血压18/10kPa,心肺听诊正常 腹软,未触及包块,肝脾肋下未触及 纤维结肠镜检查:未见异常。血常规示嗜酸性粒细胞4.8％,余均正常 诊为“肠激惹综合征”,给予米雅BM片剂(日本米雅利桑株式会社生产)治疗,症状缓解。但由于患者胸片及CT检查均示左下肺小结节影,故进一步做1:2000PPD试验,结果呈强阳性反应,而纤维支气管镜检查及各项癌性指标检查均正常,血沉10mm/h。最后经肺科、胸外科、肿瘤外科专家会诊考虑为左下肺腺癌可能于1998年5月11日行“开胸探查,左下肺叶切除术” 术后病理切片经浙江省临床病理质
Male, 46 years old, cadres because of repeated left lower quadrant pain, stool frequency increased 4 years, increased in January on April 13, 1998 admitted to the hospital: body temperature 36.6 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 18 / 10kPa, cardiopulmonary auscultation normal abdomen soft, untreated mass, liver and spleen ribs did not touch the colonoscopy: no abnormalities. Blood eosinophils showed that 4.8%, the remaining normal were diagnosed as “irritable bowel syndrome”, given Miya BM tablets (Japan Miyazaki Sang Co., Ltd.) treatment, the symptoms were relieved. However, due to the chest X-ray and CT examination showed the left lower pulmonary nodules, so further 1: 2000PPD test results showed a strong positive reaction, and fiberoptic bronchoscopy and various cancerous indicators were normal, erythrocyte sedimentation rate 10mm / h . Finally, pulmonary, thoracic and oncology surgeons consider the diagnosis of the left lower lung adenocarcinoma may be “May 11, 1998 line of” thoracotomy, left lower lobectomy "pathology after the pathological section of Zhejiang Province by the clinical pathology