呼吸系统疾病6—培训课件.ppt

* 隐性肺癌 (2)镜下: ① 鳞癌 ② 腺癌 细支气管肺泡癌(bronchioalvolar carcinoma) 特殊类型腺癌: ③ 小细胞癌 small cell carcinoma metastatic small cell lung cancer Electron micrograph ④大细胞癌 ⑤腺鳞癌(混合性癌) 4.病理与临床联系 (1)常见早期症状 (2)胸腔血性积液 (3)局限性肺气肿或肺萎陷 (4)上腔静脉综合征 (5)交感神经麻痹综合征(Horner综合征) (6)上肢疼痛及手部肌肉萎缩:侵犯壁丛神经 (7)肺外症状:副肿瘤综合征 *早期诊断 A 54-year-old male presents with several problems involving his face and pain in his shoulder. He states that he has smoked 2 packs of cigarettes a day for almost 40 years. Physical examination reveals ptosis of his left upper eyelid, constriction of his left pupil, and lack of sweating (anhidrosis) on the left side of his face. No other neurologic abnormalities are found. 练习题 This individual most likely has a. A bronchioloalveolar carcinoma involving the left upper lobe b. A small cell carcinoma involving the hilum of his left lung c. A squamous cell carcinoma involving the left mainstem bronchus d. An adenocarcinoma involving the apex of his left lung e. An endobronchial carcinoid tumor involving the right mainstem bronchus Question A 39-year-old female presents with a cough and increasing short- ness of breath. A chest x-ray is interpreted by the radiologist as show-ing a rightlower lobe (RLL) pneumonia. No mass lesions are seen. The woman istreated with antibiotics, but her symptoms do not im-prove. On her return visit, the area of consolidation appears to be in-creased. Bronchoscopy is performed. No bronchial masses are seen, but a transbronchial biopsy is obtained in an area of mucosal erythe-ma in the RLL. After the diagnosis is made, the RLL is removed and a section from this specimen reveals welldifferentiated mucus-secret-ing columnar epithelial cells that infiltrate from alveolus to alveolus. What is the correct diagnosis? a. Bronchioloalveolar carcinoma b. Carcinoid c. Large cell carcinoma d. Small cell carcinoma e. Squamous cell carcinoma Question A 67-year-old male long-term s