肺透明细胞癌较少见,现将病理确诊的3例报告如下。例1,患者男,54岁。1984年9月24日入院。反复咳嗽、咳痰十年余,加重伴痰中带血2个月。体检仅右肺可闻干性罗音。有三十多年的吸烟史。胸片示:右上肺可见大块致密影,分叶状,约8×7cm~2,其中可见透光区。纤维支气管镜检查:右上叶有结节状物阻塞在支气管口内,活俭未见癌细胞,剧片亦未发现癌细胞。痰找癌细胞三次均阴性。于11月22日在全麻下行右侧剖胸探查,发现右上、中肺叶均有拳大的肿块,肺门及支气管旁、胸壁均有转移的病灶,行右上、中肺叶切除。术后病理所见为:右肺叶见一拳头大 Clear cell carcinoma of the lung is rare, and 3 cases with pathological diagnosis are reported below. Case 1, patient male, 54 years old. He was admitted to hospital on September 24, 1984. Repeated coughing and coughing for more than 10 years, aggravated with sputum with blood for 2 months. Only the right lung can hear dry rales. There are more than 30 years of smoking history. Chest radiographs showed that large dense shadows were seen in the right upper lung and were lobulated, approximately 8×7cm-2, with visible light transmission areas. Fiberoptic bronchoscopy: In the right upper lobe, nodules were blocked in the mouth of the bronchus. No cancer cells were found in the living larvae. No cancer cells were found in the drama. He found cancer cells three times negative. On the 22nd of November, the right thoracotomy was performed under general anesthesia. It was found that the right upper and middle lobes had large fist masses. The hilar, parabronchial, and chest walls all had metastatic lesions. The right upper and middle lobes were removed. Pathological findings are as follows: the right lung leaves see a big fist