一种肺复合性小细胞癌，包含三种成分：小细胞癌、梭形细胞癌和鳞状细胞癌。
A combined small cell carcinoma of the lung containing three components: small cell, spindle cell and squamous cell carcinoma.
作者信息
Gotoh Masashi, Yamamoto Yasumichi, Huang Cheng-Long, Yokomise Hiroyasu
机构信息
Second Department of Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki, Kagawa 761-0793, Japan.
出版信息
Eur J Cardiothorac Surg. 2004 Nov;26(5):1047-9. doi: 10.1016/j.ejcts.2004.08.002.
A 61-year-old man was referred to our hospital because of rapid growth of a mass shadow revealed by chest radiography. The mass was diagnosed as pure small cell carcinoma by CT-guided needle biopsy, and the patient underwent chemotherapy. However, as the tumor showed no response, we considered the possibility of some other form of malignancy and performed surgery. Postoperatively, the mass was diagnosed as small cell carcinoma combined with small cell, spindle cell and squamous cell carcinoma. We report this case in view of the rarity of this combination of morphologic patterns in a primary bronchogenic carcinoma.
一名61岁男性因胸部X线检查发现的肿块阴影迅速增大而转诊至我院。通过CT引导下针吸活检，该肿块被诊断为纯小细胞癌，患者接受了化疗。然而，由于肿瘤无反应，我们考虑存在其他形式恶性肿瘤的可能性并进行了手术。术后，肿块被诊断为小细胞癌合并小细胞、梭形细胞和鳞状细胞癌。鉴于这种形态学模式组合在原发性支气管癌中罕见，我们报告此病例。
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