- 期刊
Colonic Metastasis from a Primary Lung Carcinoma: A Case Report
原發性肺癌併結腸轉移：一個病例報告
摘要
肺癌伴隨結腸的轉移在臨床非常罕見。在過去幾十年來的的英文文獻裡，只有少數零星的病例報告被發表過。幾乎所有肺癌併結腸轉移的病例都是男性患者，只有一例文獻是女性。最常見的臨床症狀是出血和腹痛。不同類型的惡性腫瘤細胞，包括大細胞癌、小細胞癌、肺腺癌、鱗狀細胞癌，腺鱗癌都有被報導過。有些案例是單一的結腸轉移，而有些案例是同時伴隨其他器官的轉移。只靠著細胞型態來判斷癌症的原發處是一項困難的工作。靠著使用免疫組織化學染色法，可以幫助臨床醫師對肺癌做出正確的診斷、分期、及有效的治療。在此我們報告一名73歲女性病患，以肺腺癌併結腸轉移表現，經免疫組織化學染色法來確定診斷的病例。並回顧歷年來與此種病歷相關的文獻報告。
並列摘要
Lung cancer with clinically demonstrated colonic metastasis is very rare, and only a few case reports have been published in the English literature. Colonic metastasis from lung malignancies occurs almost exclusively in male patients, with only 1 case involving a female patient being reported in the literature. The most common symptoms of colonic metastasis are bleeding and abdominal pain. Different malignant cell types have been reported, including large cell carcinoma, small cell carcinoma, adenocarcinoma, squamous cell carcinoma, and adenosquamous carcinoma. Such colon metastases may present with solitary lesions or disseminated masses. Determining the origin of a metastatic cancer on the basis of a morphologic examination alone is a difficult task. By using reliable immunohistochemical markers, clinical physicians can make an accurate diagnosis with appropriate staging and effective treatment for patients with lung cancer and colonic metastasis. Herein, we reported a 73-year-old woman with colonic metastasis from pulmonary adenocarcinoma, which was confirmed by an immunohistochemical study. A literature review is also included.
延伸閱讀
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