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Double Primary Lung Cancer with Contralateral Spontaneous Pneumothorax- A Case Report

兩個同時發現的原發性肺癌合併對側自發性氣胸

摘要


同時期發現兩個原發性肺癌並不常見。兩處的病灶必須是互相獨立且必須是惡性的。我們報告一位八十歲男性因長期咳嗽及呼吸困難而住院;其影像學顯示腫瘤位於氣管,右上肺葉及右下肺葉並合併左側氣胸。氣管內及右上肺葉腫瘤的病理切片為鱗狀上皮癌;右下肺葉腫瘤的病理切片為小細胞癌。氣胸發生前的電腦斷層發現左側肺氣腫且無腫瘤侵犯。

並列摘要


Patients with lung cancer may present with more than one primary lesion arising in the lung at the same time and then be classified as having synchronous multiple primary lung cancer (MPLC). We described an 80-year-old man who presented with a chronic cough and respiratory distress. A roentgenogram of the chest showed the presence of a tumor at the right upper lobe (RUL) and right lower lobe (RLL), accompanied by left pneumothorax. The findings on a computed tomography of the chest showed a tracheal tumor and tumors at the RUL and RLL. Histological examination was carried out, and revealed that the tracheal tumor and the RUL tumor were squamous cell carcinoma, while the RLL tumor was small cell carcinoma.

並列關鍵字

double primary lung cancer pneumothorax

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