Thoracic Mass Lesions in Immuno-incompetent Patients

An aggressive surgical approach was used in the diagnosis and treatment of seven immuno-incompetent patients who presented with focal thoracic mass lesions. In five of the seven patients, minor diagnostic procedures had failed to provide a diagnosis. All seven patients were subjected to exploratory thoracotomy with resection and/or drainage of the involved area. Two patients had parenchymal masses, two had lung abscesses, two had empyemas with trapped lung, and one had a bronchial fistula. An accurate diagnosis and full resolution of the intrathoracic process was obtained in all patients. There was little morbidity and no operative mortality in this series. Resection of focal thoracic lesions in immuno-incompetent patients combines accurate diagnosis with precise therapy and is well tolerated in this high risk group of patients.

对7名出现胸部局灶性肿块病变的免疫功能低下患者采用了积极的手术方法进行诊断和治疗。7名患者中有5名，小型诊断程序未能提供诊断结果。所有7名患者均接受了开胸探查术，并对受累区域进行了切除和/或引流。2名患者有实质性肿块，2名有肺脓肿，2名有伴有肺不张的脓胸，1名有支气管瘘。所有患者均获得了准确的诊断，胸腔内病变完全消退。该组患者发病率低，无手术死亡病例。对免疫功能低下患者的胸部局灶性病变进行切除，可将准确诊断与精确治疗相结合，且在这一高危患者群体中耐受性良好。