[症例報告]胸腺腫に慢性気道性疾患を合併した2症例

概要

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Case 1 is a 61 year old male. He was admitted to Ginowan Hospital with productive cough and was thought to haveabnormal shadow on chest x-ray. He visited our hospital for further examination. We suspected thymoma and diffuse panbronchiolitis (DPB) by findings of antenor mediastinal tumor and small nodular shadow on centrilobular distribution on chest define CT. He underwent resection of mediasinal tumor and left S_10 lung biopsy. Pathological findings were thymoma and chronic bronchiolitis with infilative lymphocyte which is not compatible with DPB. Case 2 is 73 year old female, she was admitted to Izumisaki Hospital with hemosputum. Chest X-ray and CT revealed a mass in the anterior mediastinum and diffuse bronchiectasis. We could not get her permission to do further examination. We diagnosed thymoma and chronic bronchial tract infection. It is already known that thymoma complicated altered immunological response, for example myasthenia gravis and aplasticanemia. We think that immunological response with thymoma induced bronchial infection like a follicular bronchiolitis with rheumatic arthritis, might explain her condition.
琉球医学会の論文