- 期刊
Acrometastases from Bronchogenic Carcinoma: A Short Report of Three Cases and Review of the Literature
肺癌合併肢端轉移：三個病例報告及文獻回顧
摘要
在所有癌症病患中，約有百分之三十的機率發生骨頭轉移；但是，只有小於千分之三的病人發生肢端轉移。自西元1984年至今，台北榮總共發現三個肺癌合併肢端轉移的個案。笫一個個案是一位六十歲的女性，被發現左下肺葉有一分化不良型上皮細胞癌合併左側食指轉移。她接受化學治療及左側食指截肢術。至今已存活超過十五個月。第二個個案是一位四十五歲的女性，被發現有左側肺門肺腺癌合併右側尾指轉移。她只接受局部放射治療於右側尾指；不幸，二個月後死於阻塞性肺炎。第三個個案是一位七十四歲的男性，被診斷出右下肺葉鱗狀上皮細胞癌合併右側拇指轉移。他接受放射治療於肺腫瘤處及右側拇指切除；不幸，於八個月後死於肺炎。起初，這三個個案都被誤診為指端的急性感染。後來，二個個案靠細針抽取細胞獲得診斷；另一個個案靠切片病理診斷。關於肢端轉移的文獻，我們在文中有詳細回顧。
並列摘要
Acrometastases means metastases over distal part of limbs by the malignant tumors. They usually occur as rare, pre-terminal events, and often are part of a widespread dissemination of metastases. Failure to recognize these lesions when they do not fit that pattern has led to delayed diagnosis or inappropriate treatment. We describe 3 patients in whom phalangeal metastases were associated with inflammatory signs that mimicked acute infection. All these cases were diagnosed and treated initially as acute infection of the digits. Two cases were confirmed as carcinoma by fine needle aspiration cytology. The other was ascertained by incision biopsy.
延伸閱讀
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