透過您的圖書館登入
IP:3.142.166.55
  • 期刊

Metastasis of Squamous Cell Carcinoma of the Cervix Presenting Like Asthma: A Case Report and Review of the Literature

子宮切除手術及放射治療九年後氣喘爲臨床表現之轉移性子宮頸癌:一病例報告及文獻回顧

摘要


子宮頸癌合併肺部轉移是一相當罕見。我們報告一位51歲女性病患,其臨床症狀為咳嗽一個月的時間。咳血氣喘三天的時間。氣喘吃藥無法改善。於九年前曾患子宮頸癌並接受子宮切除手術及局部的放射性治療,以氣喘為臨床表現,最終診斷為子宮頸癌合併縱隔腔淋巴、腋部淋巴腫大及氣管內轉移性腫瘤。

關鍵字

子宮頸癌 肺部轉移

並列摘要


We report a 51-years-old female with mediastinal and axillary lymphadenopathy, who presented with obstructive bronchial symptoms. The patient had a history of squamous cell carcinoma cervix uteri stage Ilb with right and left hypogastric lymph nodes metastasis postoperation and radiotherapy. She presented with persistent cough, shortness of breath and marked diffused wheezing on auscultation .The pulmonary function test revealed moderate obstructive ventilatory impairment. Chest computed tomography examination of the widening of the right upper mediastinum revealed multiple lymph nodes at the right paratrachea, retrocaval, precarina, and subcarinal region and left axillary fossa. Pathology of the left axillary lymphadenopathy showed metastatic squamous cell carcinoma. Immunostaining results indicated metastatic squamous cell carcinoma, compatible with a uterine cervical origin. Chemotherapy with cisplatin and radiotherapy for the left bronchial obstruction was given. We review the literature and discuss the features of squamous cell carcinoma of the cervix with pulmonary metastasis.

並列關鍵字

cervical cancer lung metastasis

延伸閱讀