肺内淋巴结转移与肾细胞癌。

Intrapulmonary lymph node metastasis and renal cell carcinoma.

作者信息

Assouad Jalal, Riquet Marc, Berna Pascal, Danel Claire

机构信息

Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75908 Paris, Cedex 15, France.

出版信息

Eur J Cardiothorac Surg. 2007 Jan;31(1):132-4. doi: 10.1016/j.ejcts.2006.10.025. Epub 2006 Nov 21.

DOI:10.1016/j.ejcts.2006.10.025

PMID:17118670

Abstract

Intrapulmonary lymph node metastasis occuring after nephrectomy for renal cell carcinoma is a particular recurrence modality. Authors report two male patients presenting with this recurrence 2 and 4 years after treatment of the primary and who underwent surgery. Surgery confirmed the diagnosis and demonstrated station 7 minimal metastases and positive pleural lavage cytology in both patients. The first patient survived 2 years and the second was alive disease free at 33 months follow-up. Such metastases probably originate from the thoracic duct. Resection confirms the diagnosis and may be part of the treatment.

摘要

肾细胞癌肾切除术后发生的肺内淋巴结转移是一种特殊的复发形式。作者报告了两名男性患者，他们在原发性肿瘤治疗后2年和4年出现这种复发情况，并接受了手术。手术证实了诊断，显示两名患者均有第7组微小转移和胸膜灌洗细胞学阳性。第一名患者存活了2年，第二名患者在随访33个月时无病存活。这种转移可能起源于胸导管。切除可证实诊断，可能是治疗的一部分。