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[肾盂癌治疗后患者的孤立性肺结节:转移性疾病?]

[Solitary pulmonary nodule in a patient with treated carcinoma of the renal pelvis: metastatic disease?].

作者信息

Ortiz De Saracho y Bobo J, Parra Muntaner L, Pantoja Zarza L, Rivas Escudero J A, Guzmán Dávila G, Fernández Fernández J L, Sánchez Merino J M

机构信息

Unidad de Neumología, Hospial del Bierzo, Ponferrada, León, España.

出版信息

Arch Esp Urol. 2000 Sep;53(7):636-8.

PMID:11037659
Abstract

OBJECTIVE

To describe a case of a solitary pulmonary nodule in a patient that had been treated for carcinoma of the renal pelvis.

METHODS

A solitary pulmonary nodule was detected on the chest film of a patient that had been treated for carcinoma of the renal pelvis. The characteristics of the nodule are described and its diagnosis, with special reference to metastasis and primary pulmonary carcinoma, is discussed.

RESULTS

The anatomopathological study demonstrated a chondroid hamartoma.

CONCLUSIONS

A metastatic or a primary tumor is suspected when a solitary pulmonary nodule is detected in a patient that has been previously treated for urothelial carcinoma. However, other types of lesions with a more favourable outcome cannot be discarded, such as chondroid hamartoma as in the case described herein.

摘要

目的

描述一例曾接受肾盂癌治疗的患者出现孤立性肺结节的病例。

方法

在一名曾接受肾盂癌治疗的患者胸部X线片上检测到一个孤立性肺结节。描述了该结节的特征,并讨论了其诊断,特别提及转移瘤和原发性肺癌。

结果

解剖病理学研究显示为软骨样错构瘤。

结论

在先前接受尿路上皮癌治疗的患者中检测到孤立性肺结节时,怀疑为转移瘤或原发性肿瘤。然而,不能排除其他预后较好的病变类型,如本文所述病例中的软骨样错构瘤。

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