Klempner L B, Preobrazhenskaia T M, Sotnikov V M
Arkh Patol. 1975;37(6):55-61.
The article presents data of the literature and the author's personal two observations on combination of systemic scleroderma and cancer of the lungs. According to the data obtained, the most frequent forms of neoplasms in this combination were tumours of an adenomatous structure. A decisive role in the machanism of development of adenomatosis of the lungs was played by septo-alveolar sclerosis which led to rearrangement of the lung tissue. Potential malignancy of adenomatosis of the lungs in systemic sclerodermia was closely connected with participation of a "defective" collagen of the embryonic type in the formation of the basal membrane of the alveolar epithelium, as well as with the predominance among the tumour cells of granular pneumocytes of the B type characteristic of the embryonal period of mammals.
本文介绍了文献数据以及作者本人关于系统性硬化症与肺癌合并情况的两项观察结果。根据所获数据,这种合并情况下最常见的肿瘤类型是腺瘤结构的肿瘤。肺腺瘤病发生机制中的决定性作用由间隔 - 肺泡硬化发挥,其导致了肺组织的重新排列。系统性硬化症中肺腺瘤病的潜在恶性与胚胎型“缺陷”胶原蛋白参与肺泡上皮基底膜形成密切相关,也与肿瘤细胞中以哺乳动物胚胎期特征性的B型颗粒性肺细胞为主有关。