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A Rare Case of Combined Small-Cell Lung Cancer with Unusual Soft Tissue Metastasis

一個以軟組織轉移為表現的罕見合併型小細胞肺癌

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摘要


合併型小細胞肺癌是一種罕見的合併小細胞癌及其他成份的腫瘤。我們提出一個含有小細胞癌、腺癌及紡錐型腫瘤三成份的合併型小細胞肺癌病例及其不尋常的軟組織轉移表現。此病患一開始於右肩有一腫塊,並於檢查後發現肺部有一結節。經以肺葉切除術將整個肺結節切除後發現,此為含有三種成份(小細胞癌、腺癌及紡錐型細胞腫瘤)的合併型小細胞肺癌病例。除了三種成份的腫瘤少見以外,此一病患以軟組織轉移來表現也是少見。

並列摘要


Combined small-cell lung carcinoma (SCLC) is a rare tumor. We report a case of combined SCLC of the lung, including adenocarcinoma and spindle-shaped cell tumor, with an unusual initial presentation. The patient suffered from a right shoulder mass, subsequently undergoing biopsy. A lung nodule was noted later after complete examination. The diagnosis turned out to be combined cell carcinoma with three different components (small-cell carcinoma, adenocarcinoma, and spindle-shaped cell tumor) after examination upon total removal of the lung nodule by lobectomy. In addition to the rarity of the three components in such a tumor, soft tissue metastasis also made it an unusual case.

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