Shoji Fumihiro, Yoshino Ichiro, Takeshita Masafumi, Sumiyoshi Shinji, Sueishi Katsuo, Maehara Yoshihiko
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Pathol Res Pract. 2007;203(10):745-8. doi: 10.1016/j.prp.2007.06.002. Epub 2007 Jul 27.
A patient presenting with Pancoast syndrome was definitely diagnosed to have pulmonary leiomyosarcoma. The patient underwent a right upper lobectomy combined with resection of the chest wall, including the 1st to 3rd ribs. The disease recurred rapidly at the local and distant sites. No previous reports about pulmonary sarcoma presenting as a Pancoast tumor were found in the literature. The possibility of primary pulmonary leiomyosarcoma should be considered, and early detection and surgical resection are necessary when a round or oval tumor with necrosis is observed in the apex of the lung.
一名表现为潘科斯特综合征的患者被明确诊断为肺平滑肌肉瘤。该患者接受了右上叶切除术并切除胸壁，包括第1至第3肋骨。疾病在局部和远处迅速复发。文献中未发现此前有关于以潘科斯特瘤形式出现的肺肉瘤的报道。当在肺尖观察到有坏死的圆形或椭圆形肿瘤时，应考虑原发性肺平滑肌肉瘤的可能性，且早期检测和手术切除是必要的。
