Peripheral Mucoepidermoid Tumor of the Lung-A Case Report

週邊型黏液表皮樣癌：病例報告及文獻回顧

林冠群(Kuan-Chun Lin) ； 秦建弘(Chien-Hung Chin) ； 林孟志(Meng-Chih Lin) ； 黃昭誠(Chao-Cheng Huang)

《胸腔醫學》 20卷5期 (2005/10) Pp. 451-456

https://doi.org/10.29806/TM.200510.0013

摘要

肺部的黏液表皮樣癌是相當少見的癌症。一般認為是來自於近端大支氣管腺體的上皮細胞。在過去這三十年來，對於黏液表皮樣癌的臨床特徵，治療方法及預後已經變得愈來愈清楚。大部份的研究者皆認為黏液表皮樣癌的臨床病程較為良性，預後也較好。但也有報告指出在病理上呈現低度表現的黏液表皮樣癌，卻有較惡性的臨床病程和較差的預後。我們報告一位78歲的女性被診斷為低度黏液表皮樣癌，病灶卻在肺部週邊，而且合併兩側肺部轉移。我們並且回顧了黏液表皮樣癌的診斷及處置的相關回顧。

關鍵字

黏液表皮樣癌 ； 支氣管內腫瘤 ； 肺葉切除術

並列摘要

Mucoepidermoid tumors of the bronchial tree are uncommon neoplasms, which are believed to arise from ductular epithelium of glands of the proximal tracheobronchial trees. For the 3 decades since their description, the clinical features, optimum treatment, and prognosis have become progressively clearer. Most investigators agree that the tumors have a favorable course, but others have reported cases in which apparently low-grade mucoepidermoid tumors were highly aggressive and associated with a poor prognosis. We report the case of an unusual low-grade mucoepidermoid tumor which arose peripherally to metastasize to the bilateral lungs of a 78-year-old woman. Literature concerning the diagnosis and management of mucoepidermoid tumors of the lung is also reviewed.

並列關鍵字

mucoepidermoid carcinoma ； endobronchial tumor ； and lobectomy