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Small Cell Lung Cancer with Initial Presentation Mimicking Liver Abscess

小細胞肺癌合併肝轉移及腫瘤伴隨症候群之一病例報告

摘要


遠處轉移和腫瘤伴隨症候群為小細胞肺癌病人之常見症狀,但同時存在時可能會造成肺癌診斷上之困難。在此我們報告一69歲男性病人主訴持續發燒,由於合併肝實質病變,其初步診斷為肝膿瘍。而後,病人接受抗生素治療,但臨床症狀並無改善。經超音波肝組織切片證實肝實質病變細胞為小細胞肺癌。小細胞肺癌合併肝轉移為確定診斷。病人接受化學治療後,肝轉移和發燒明顯改善。

關鍵字

小細胞肺癌 肝轉移 發燒

並列摘要


Distant metastasis and paraneoplastic syndromes are often seen in small cell lung cancer patients, and can sometimes mislead in the diagnosis of lung cancer. We report a 69-year-old man presenting with persistent fever for days and an initial diagnosis of liver abscess. His condition did not improve after antibiotic treatment. Small cell carcinoma was proved by echo-guided liver biopsy. A small nodule in the right lung, which was barely seen in the initial chest radiograph, was detected by chest CT scan. Small cell lung cancer with liver metastasis was documented. The hepatic lesion and fever improved after chemotherapy.

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