Hsiao Hui-Hua, Tsai Hui-Jen, Liu Yi-Chang, Tseng Yi-Ting, Tseng Shi-Bin, Chai Chee-Yin, Lin Sheng-Fung
Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan.
Kaohsiung J Med Sci. 2006 Jul;22(7):352-6. doi: 10.1016/S1607-551X(09)70322-5.
Combined small-cell lung carcinoma (SCLC) is a rare tumor. We report a case of combined SCLC of the lung, including adenocarcinoma and spindle-shaped cell tumor, with an unusual initial presentation. The patient suffered from a right shoulder mass, subsequently undergoing biopsy. A lung nodule was noted later after complete examination. The diagnosis turned out to be combined cell carcinoma with three different components (small-cell carcinoma, adenocarcinoma, and spindle-shaped cell tumor) after examination upon total removal of the lung nodule by lobectomy. In addition to the rarity of the three components in such a tumor, soft tissue metastasis also made it an unusual case.
复合型小细胞肺癌(SCLC)是一种罕见的肿瘤。我们报告一例肺复合型SCLC病例,包括腺癌和梭形细胞瘤,其初始表现不寻常。患者右肩部有肿块,随后接受了活检。全面检查后发现肺部有一个结节。通过肺叶切除术完全切除肺结节后经检查诊断为具有三种不同成分(小细胞癌、腺癌和梭形细胞瘤)的复合型细胞癌。除了这种肿瘤中三种成分罕见外,软组织转移也使其成为一个不寻常的病例。