Ohgi M, Endo S, Tsubochi H, Sohara Y, Watanabe Y, Koyama S, Hiroshima K
Department of General Thoracic Surgery, Omiya Medical Center, Jichi Medical School, Saitama, Japan.
Kyobu Geka. 2007 Feb;60(2):112-5.
We report a 58-year-old male with localized pleural adenocarcinoma, the origin of which was not identified. The disk-shaped pleural tumor was 8 x 6 x 2 cm in size and involved the left upper chest wall including the ribs. A fine needle biopsy showed adenocarcinoma, but whole body survey revealed no neoplasm other than the chest wall tumor. The left chest wall resection was followed by the left pleuropneumonectomy, because a few disseminations were identified in the visceral pleura. Pathological examinations showed no primary tumor in the lung. Immunohistochemical examinations suggested that micro-adenocarcinoma originating the subpleural lung invaded chest wall. It may be possibly a subtype of pseudomesotheliomatous adenocarcinoma. The patient has no recurrent tumor 1 year after the operation.
我们报告一例58岁男性局限性胸膜腺癌患者，其起源不明。盘状胸膜肿瘤大小为8×6×2cm，累及左前胸壁，包括肋骨。细针穿刺活检显示为腺癌，但全身检查未发现除胸壁肿瘤外的其他肿瘤。由于在内脏胸膜发现了一些播散灶，在左胸壁切除术后进行了左全肺胸膜切除术。病理检查显示肺内无原发性肿瘤。免疫组化检查提示起源于胸膜下肺的微腺癌侵犯胸壁。它可能是假间皮瘤样腺癌的一种亚型。患者术后1年无肿瘤复发。
