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潘科斯特瘤:磁共振成像在肿瘤分期中的应用

Pancoast tumor: use of MRI for tumor staging.

作者信息

Beale R, Slater R, Hennington M, Keagy B

机构信息

Department of Surgery, University of North Carolina Hospitals, Chapel Hill.

出版信息

South Med J. 1992 Dec;85(12):1260-3. doi: 10.1097/00007611-199212000-00027.

DOI:10.1097/00007611-199212000-00027
PMID:1470977
Abstract

Pancoast tumors (superior sulcus tumors) are apical lung cancers that may cause any or all of the symptoms originally described in 1932 as Pancoast's syndrome. We have presented a case report and a review of pertinent literature on the treatment of this tumor. Our patient was treated with preoperative radiation and en bloc tumor resection, the current standard of care for cure of Pancoast tumor. We support an aggressive approach in the treatment of this tumor, as radiation followed by radical tumor resection offers good palliation and the best chance for cure. Magnetic resonance imaging has emerged as the procedure of choice to assess the local extent of tumor, and in our patient, MRI accurately predicted that the tumor was resectable.

摘要

潘科斯特瘤(肺上沟瘤)是肺尖部的癌症,可能导致最初在1932年被描述为潘科斯特综合征的任何或所有症状。我们呈现了一例病例报告,并对该肿瘤的治疗相关文献进行了综述。我们的患者接受了术前放疗和肿瘤整块切除,这是目前治疗潘科斯特瘤的标准治疗方法。我们支持对该肿瘤采取积极的治疗方法,因为放疗后进行根治性肿瘤切除可提供良好的姑息治疗效果以及最佳的治愈机会。磁共振成像已成为评估肿瘤局部范围的首选检查方法,在我们的患者中,磁共振成像准确预测了肿瘤是可切除的。

相似文献

1
Pancoast tumor: use of MRI for tumor staging.潘科斯特瘤:磁共振成像在肿瘤分期中的应用
South Med J. 1992 Dec;85(12):1260-3. doi: 10.1097/00007611-199212000-00027.
2
Superior sulcus tumors and Pancoast's syndrome.肺上沟瘤与潘科斯特综合征。
Lung Cancer. 2003 Dec;42 Suppl 2:S17-21. doi: 10.1016/j.lungcan.2003.08.006.
3
Superior pulmonary sulcus carcinoma.
Surg Clin North Am. 1988 Jun;68(3):497-509. doi: 10.1016/s0039-6109(16)44530-5.
4
[Pancoast tumor with rheumatic symptoms without Pancost's syndrome--case report].
Przegl Lek. 2007;64(12):1033-5.
5
Case Report: En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation.病例报告:全肺切除潘科斯特瘤并辅助主动脉内支架植入及放化疗
Methodist Debakey Cardiovasc J. 2015 Apr-Jun;11(2):140-4. doi: 10.14797/mdcj-11-2-140.
6
Pneumocephalus after Pancoast's tumor surgery: to be or not to be conservative?潘科斯特瘤手术后的气颅:是否采取保守治疗?
J Cardiovasc Surg (Torino). 2007 Jun;48(3):385-7.
7
Pancoast's tumor: irradiation or surgery?潘科斯特瘤:放疗还是手术?
Ann Thorac Surg. 1979 Dec;28(6):578-86. doi: 10.1016/s0003-4975(10)63180-3.
8
Pancoast's syndrome and small cell lung cancer.
Chest. 1982 Nov;82(5):602-6. doi: 10.1378/chest.82.5.602.
9
Factors affecting survival in superior sulcus tumors.影响肺上沟瘤生存的因素。
J Clin Oncol. 1986 Nov;4(11):1598-603. doi: 10.1200/JCO.1986.4.11.1598.
10
Influence of staging in superior sulcus (Pancoast) tumors of the lung.
Ann Thorac Surg. 1980 May;29(5):406-9. doi: 10.1016/s0003-4975(10)61668-2.

引用本文的文献

1
Variabilities of Magnetic Resonance Imaging-, Computed Tomography-, and Positron Emission Tomography-Computed Tomography-Based Tumor and Lymph Node Delineations for Lung Cancer Radiation Therapy Planning.基于磁共振成像、计算机断层扫描以及正电子发射断层扫描-计算机断层扫描的肺癌放射治疗计划中肿瘤及淋巴结勾画的变异性
Int J Radiat Oncol Biol Phys. 2017 Sep 1;99(1):80-89. doi: 10.1016/j.ijrobp.2017.05.002. Epub 2017 May 6.
2
Bone single photon emission computed tomography (SPECT) in a patient with Pancoast tumor: a case report.一名潘科斯特瘤患者的骨单光子发射计算机断层扫描(SPECT):病例报告。
Sao Paulo Med J. 2010 Jul;128(4):239-43. doi: 10.1590/s1516-31802010000400013.
3
Lung Cancer OncoGuia.
肺癌诊疗指南
Clin Transl Oncol. 2009 Dec;11(12):805-24. doi: 10.1007/s12094-009-0449-0.