- 期刊
A Rare Radiological Pattern of Pulmonary Metastasis of Gastric Cancer Mimicking Bronchioloalveolar Carcinoma: A Case Report
罕見胃癌併發肺轉移之影像學表現擬肺泡細胞癌：病例報告
摘要
肺泡細胞癌的比率佔所有肺癌中的4%，其影像學之表現為單一或多處的肺實質性變化及毛玻璃狀。典型的病理學為惡性細胞利用周圍的肺泡細胞壁築成一個像鷹架的組織。本文描述一位胃癌經胃全切除術後之患者，因咳嗽併痰多，持續呼吸困難，端坐呼吸及嚴重低血氧而住院。胸部X光呈現肺廣泛浸潤及兩側肋膜積水，胸部電腦斷層顯示兩側肺實質性病變及空氣支氣管造影，毛玻璃狀；且沒發現任何肝臟或腹腔內轉移之影像。所有的影像學檢查及臨床症狀均傾向為肺泡細胞癌。支氣管鏡檢查顯示無氣管內病灶或是出血情形，切片病理報告表示是由胃癌所轉移而不是肺泡細胞癌。這是一個經由影像學證實由胃腺癌轉移至肺部的罕見病例。
並列摘要
This report describes a patient with pulmonary metastasis of gastric cancer who unexpectedly presented with bilateral consolidation, air bronchogram and ground-glass opacities on chest radiography. All imaging findings and clinical symptoms suggested bronchioloalveolar carcinoma. This was a rare radiological pattern that has only occasionally been reviewed.
延伸閱讀
- Chang, W. Y., Lin, C. C., Su, W. C., Liu, W. C., & Chang, H. Y. (2016). 腹膜轉移－一種罕見的肺癌轉移方式：病例報告及文獻回顧. 胸腔醫學, 31(2), 115-119. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201604-201603300025-201603300025-115-119
- Hsu, K. C., Chen, M. L., Wen, J. H., & Lin, C. H. (2003). 肺透明細胞瘤：病例報告. 胸腔醫學, 18(4), 344-349. https://www.airitilibrary.com/Article/Detail?DocID=10239855-200308-18-4-344-349-a
- Lie, C. H., Liu, S. F., & Lin, M. C. (2005). 以肺部失能及微小血管性溶血性貧血為胃癌的初始病徵：病例報告. 胸腔醫學, 20(3), 227-233. https://doi.org/10.29806/TM.200506.0002
- Liu, N. J., Chiu, C. T., Wu, S. S., Lin, S. M., Chen, P. C., Wu, C. S., & Chen, T. C. (1994). 肺癌之腸胃道轉移：一病例報告及文獻回顧. 中華民國消化系醫學會雜誌, 11(2), 151-157. https://doi.org/10.6557/GJTa.199406_11(2).0006
- Lin, Y. H., Chen, K. J., & Lin, C. P. (2004). 氣道腫瘤併發於一胃黏膜淋巴瘤病患－病例報告. 胸腔醫學, 19(4), 300-305. https://doi.org/10.29806/TM.200408.0012