Avdalovic Mark, Chan Andrew
Division of Pulmonary and Critical Care, Department of Internal Medicine, University of California-Davis Medical Center, 4150 V Street, Suite 3400, Sacramento, CA 95817, USA.
Clin Chest Med. 2004 Jun;25(2):379-90. doi: 10.1016/j.ccm.2004.01.009.
Metastatic, gender-related, nonpulmonary malignancy can exhibit different patterns of tumor spread and different natural histories. The pulmonologist often is involved in the diagnosis and treatment of patients with pulmonary metasteses; and a thorough understanding of the patterns of metastasis from these cancers can help to guide appropriate work-up and therapy. In the case of solitary pulmonary metastases, a surgical approach may not be unreasonable based on current clinical evidence. Knowledge of the clinical spectrum of these diseases, together with their unique molecular biology, may improve the clinical care of patients.
转移性、与性别相关的非肺部恶性肿瘤可表现出不同的肿瘤扩散模式和不同的自然病程。肺科医生常常参与肺转移患者的诊断和治疗;深入了解这些癌症的转移模式有助于指导恰当的检查和治疗。就孤立性肺转移而言,根据目前的临床证据,采取手术方法并非不合理。了解这些疾病的临床谱及其独特的分子生物学特性,可能会改善患者的临床护理。