多形性癌：一例伴有大量胸腔积液和石棉颗粒的病例报告。

Pleomorphic carcinoma: report of a case with massive pleural effusion and asbestos particles.

作者信息

Oyama Tsunehiro, Osaki Toshihiro, Isse Toyohi, Yashima Yasunori, Ozaki Shinichi, Nakata Shyouji, Uramoto Hidetaka, Sugaya Masakazu, Yasuda Manabu, Yamashita Toshihiro, Inoue Masaaki, Takenoyam Mitsuhiro, Hanagiri Takeshi, Sugio Kenji, Hamada Tetsuo, Kawamoto Toshihiro, Yasumoto Kosei

机构信息

Department of Environmental Health, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2003 Apr;9(2):126-9.

PMID:12732091

Abstract

Pleomorphic (spindle/giant cell) carcinoma (PC) is one subset of large cell carcinoma. It is well known that PC patients have a poor survival rate. This report describes a 68-year-old man with PC. The patient's tumor had a massive pleural effusion. A left lower lobectomy and partial resection of the left diaphragm, peritoneum, and parietal pleura were performed to remove the tumor. Numerous asbestos particles were found in the left lower lobe. This is the first reported case of PC which may have been caused by asbestos particles. Further investigation is needed into whether asbestos exposure causes PC.

摘要

多形性（梭形/巨细胞）癌（PC）是大细胞癌的一个亚型。众所周知，PC患者的生存率很低。本报告描述了一名68岁的PC男性患者。该患者的肿瘤有大量胸腔积液。进行了左下叶切除术以及左膈肌、腹膜和壁层胸膜的部分切除术以切除肿瘤。在左下叶发现了大量石棉颗粒。这是首例可能由石棉颗粒引起的PC报告病例。对于石棉暴露是否会导致PC，还需要进一步研究。