Carvalho Heloisa de Andrade, Tsai Paulo W C, Takagaki Teresa Yae
Division of Oncology, Radiotherapy Servide of the Radiology Institute (InRad) Hospital das Clínicas, Faculty of Medicine, University of São Paulo, Brazil.
Rev Hosp Clin Fac Med Sao Paulo. 2002 Nov-Dec;57(6):283-6. doi: 10.1590/s0041-87812002000600007. Epub 2003 Feb 17.
A rare case of thumb metastasis from small cell lung cancer is presented. The patient underwent local radiotherapy with complete palliation of symptoms. She died 4 months later with disseminated disease. Considerations about incidence, treatment, and physiopathology of this kind of dissemination are made. Conservative treatment of finger metastasis with radiation may be considered due to the poor outcome of these patients.
本文报告了一例罕见的小细胞肺癌拇指转移病例。患者接受了局部放疗,症状完全缓解。4个月后,她因疾病播散而死亡。文中对这种播散的发生率、治疗及病理生理学进行了探讨。鉴于这类患者预后较差,对于手指转移瘤可考虑采用放射保守治疗。