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Rare Anterior Tongue Metastasis from Primary Lung Cancer: A Case Report

肺腺癌合併舌部轉移-病例報告

摘要


舌部轉移是肺癌中少見的轉移,這類轉移多在肺癌晚期才會出現,因此病人大多預後不佳,過去關於這類病例報告並不多,我們描述一個七十一歲的患者,初期以舌部腫瘤的症狀來表現,並意外發現肺部亦有一顆腫瘤,肺部腫瘤的切片結果肺腺癌,舌部腫瘤切片與免疫螢光染色後發現CK7與TTF-1呈現陽性反應,確定為肺腺癌轉移,在經過六個療程第一線化學治療(Alimta跟cisplatin)後,病人於診斷後七個月後死亡。

關鍵字

肺癌 腺癌 舌部轉移

並列摘要


Primary tumors metastasizing to the tongue are extremely rare. There is a 1% rate of metastasis to the oral cavity from other primary sites, most commonly the lung, breast, skin, gastrointestinal tract, and liver. There is a 1.6% rate of primary lung cancer metastasized to the tongue. We describe a patient with adenocarcinoma of the lung who developed a metastatic lesion on the tongue. A 71-year-old Taiwanese male was diagnosed with adenocarcinoma of the lung at stage IV (cT4N2M1a, stage IV [lung-to-lung metastasis]) with a tongue tumor. The tumor was painful, palpable, and firm, measuring around 1 x 1 x 1 cm^3 on the anterior part of the tongue. There was no cervical lymphadenopathy. The tumor was thought to be a metastasis of the lung adenocarcinoma. The tongue lesion was excised and revealed adenocarcinoma. The histology of the specimen was consistent with that of the previous lung cancer, so he was considered to have had tongue metastasis from adenocarcinoma of the lung (right upper lung, cT4N2M1b, stage IV [lung-to-lung and tongue metastasis]).

並列關鍵字

lung cancer adenocarcinoma tongue metastasis

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