Dursunoğlu Neşe, Başer Sevin, Evyapan Fatma, Kiter Göksel, Ozkurt Sibel, Polat Bahattin, Karabulut Nevzat
Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Tuberk Toraks. 2007;55(1):99-102.
This is a metastatic spread of squamous cell lung carcinoma to lungs, liver, lymph node, bone and subcutanous region as multiple abscess-like lesions. A fifty-five years old man admitted to the out-patient clinic with fever, cough, hemopthysis, night sweats, chest pain, abdominal pain and weight loss. In a short period of time abcess like lesions developed in his lungs, liver, lymph node, bone and subcutanous region. Though the clinical presentation is suggestive for an infectious condition, no success to antimicrobial treatment and negative results of microbiological studies have arised a need to further investigations. Histopathological studies of the abscess wall ultimately gave the definitive diagnosis as metastatic squamous cell carcinoma. We believe that case report is interesting because of the uncommon metastatic lesions masquerading the abscesses and also wide-spread multiple distant invasions of a squamous cell lung carcinoma in a short time period.
这是一例肺鳞状细胞癌转移至肺、肝、淋巴结、骨及皮下区域,表现为多个脓肿样病灶。一名55岁男性因发热、咳嗽、咯血、盗汗、胸痛、腹痛及体重减轻就诊于门诊。短期内,其肺、肝、淋巴结、骨及皮下区域出现脓肿样病灶。尽管临床表现提示为感染性疾病,但抗菌治疗无效且微生物学检查结果为阴性,因此需要进一步检查。脓肿壁的组织病理学研究最终确诊为转移性鳞状细胞癌。我们认为该病例报告很有意思,因为罕见的转移性病灶伪装成脓肿,且肺鳞状细胞癌在短时间内发生广泛的远处转移。