透過您的圖書館登入
IP:3.18.109.154
  • 期刊

Special Histological Type of Synchronous Primary Lung Cancer

同時性原發性肺癌的特殊病理發現病例報告

摘要


A 62-year-old man visited our outpatient department due to a 2.0-cm pulmonary nodule with irregular margins in the left perihilar region that was found on chest x-ray at another institution; however, the patient had experienced no discomfort. This case was a special histological type of synchronous primary lung cancer with adenosquamous carcinoma at the left lower lobe and mixed small cell carcinoma and squamous cell carcinoma at the right lower lobe. Our experience with this case highlights the importance of distinguishing between multiple primary lung cancer and distant lung metastasis.

並列摘要


同時性原發性肺癌的定義須符合:同時發生且為分別獨立的、不同病理型態的惡性肺上皮增生或相同病理型態但在不同區域(對側肺、不同肺或不同肺段)的癌症;另外還同時須符合下列三點:1.源自原發性肺癌,2.在共同的淋巴區域沒有惡性細胞,3.在診斷的同時沒有遠端的轉移。在這個病例報告我們提出了一位在左側肺門有兩公分的肺結節而沒有任何臨床症狀的62歲男性,在最終的手術取得標本確認為左下肺葉腺鱗狀細胞癌及右下肺葉混合小細胞及鱗狀細胞癌,在此報導中則凸顯出分辨不同的病理細胞型態對於診斷原發性或轉移性肺癌的重要性。

延伸閱讀