Blastoma.docVIP

 PAGE \* MERGEFORMAT 12 Blastoma Author: Wen Xing, Liao Feng, Xiong-sheng, Xiao-hua, Peng Xiaohu, Xiao Zubin [Keywords:] lung cancer; blastoma; Imaging Features Pulmonary blastoma is a primary lung cancer, reported in the literature little, at present, China reported in the literature 102, the world reported that more than 200 articles. As the disease rare, the lack of clinical imaging characteristic, often misdiagnosed as other diseases and delay the treatment of disease, leading to poor prognosis of patients with serious consequences. Therefore, this article will be the recent Court encounter a case of pulmonary blastoma, and Taiwan has reported in the literature with a complete clinical, pathological and radiological data of 95 cases to do a retrospective analysis to summarize the clinical, pathology, etiology and imaging features, with a view to increasing awareness of the disease to reduce the rate of misdiagnosis. 1 Case Patients, male, 37 years old. The patient was in December 2006 had no significant incentive to appear on the left chest and back pain, not accompanied by breathing difficulties, heart palpitations and lasted about 2 h, without treatment can ease the pain. X-ray examination at a local hospital prompted to ‘lower left pulmonary space-occupying lesion’, symptomatic treatment results are poor, in May 2007 transferred to our hospital. Body check: the lower left lung percussion sounds a little muddy, lung auscultation breath sounds clear, no smell and dry, moist rales, and pleural friction sound. Laboratory tests: ESR 14 mm / h, determination of tumor markers positive, blood biochemistry, immunology were negative, bronchoscopy, abdominal ultrasonography revealed no abnormalities. X-ray chest is lateral: lower left basal segment of extrapulmonary see an approximately 7.5 cm * 9 cm spherical high density shadow, edge finishing, its lateral margin in close contact with the left side of the chest wall. X-ray diagnosis: left lower lung tumor