Placental transmogrification of the lung presenting as progressive symptomatic bullous emphysema
Autor: | Karina Brüstle, Walter Weder, Bart Vrugt, P Komminoth, S Lema, Wolfgang Jungraithmayr |
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Přispěvatelé: | University of Zurich, Jungraithmayr, W |
Rok vydání: | 2016 |
Předmět: |
Pulmonary and Respiratory Medicine
Thorax Male medicine.medical_specialty 10255 Clinic for Thoracic Surgery 610 Medicine & health Atelectasis 030204 cardiovascular system & hematology Pulmonary function testing 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine 10049 Institute of Pathology and Molecular Pathology Parenchyma medicine Humans Lung business.industry Mediastinum respiratory system Middle Aged medicine.disease respiratory tract diseases medicine.anatomical_structure 030228 respiratory system Pulmonary Emphysema 2740 Pulmonary and Respiratory Medicine sense organs Radiology business Tomography X-Ray Computed Wedge resection (lung) |
Zdroj: | Thorax. 72(3) |
ISSN: | 1468-3296 |
Popis: | In 2015, a 63-year-old non-smoking male with a history of bullous emphysema, for which a wedge resection of the right lower lobe had been performed in 1972, presented with progressive dyspnoea on exertion and coughing. Pulmonary function tests demonstrated a moderate obstructive pattern with normal diffusion capacity (FEV1: 61%, FVC: 64%, TLco: 86%). CT of the thorax revealed localised bullous–cystic changes in the right lower lobe with displacement of the mediastinum to the contralateral side (figure 1). Due to the patient’s increasing respiratory distress, a right lower lobectomy was performed. Figure 1 CT of the thorax showing bullous–cystic changes with atelectasis of the adjacent parenchyma and displacement of the upper lobe and mediastinum. Grossly, the specimen displayed multiple cysts with compression of the adjacent parenchyma (figure 2A). Histologically, placenta-like papillary … |
Databáze: | OpenAIRE |
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