Galbis Caravajal José M, Sales Badía Jesús G, Trescolí Serrano Carlos, Cordero Rodríguez Pedro, Jordá Aragón Carlos, Naval Sendra Elsa
Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Alcira, Valencia, Spain.
Clin Transl Oncol. 2008 Oct;10(10):676-8. doi: 10.1007/s12094-008-0271-0.
Endotracheal metastases (ETM) from non-lung cancer are seldom seen. Their main clinical symptoms are cough, haemoptysis and dyspnoea, although occasionally an incidental finding is made during a bronchoscopy. Breast, colon and kidney adenocarcinoma might be associated with ETM, lung cancer being the most frequent cause. Its finding is associated with advanced disease but survival will depend on the primary origin, patient status and comorbidity. Therefore, treatment should be individual for each patient. In our centre we recommend pre-surgery bronchoscopy to exclude metastatic endotracheal lesions in patients with metastatic colon adenocarcinoma disease, as this might affect the final outcome and therefore management of the disease.
非肺癌引起的气管内转移(ETM)很少见。其主要临床症状为咳嗽、咯血和呼吸困难,尽管偶尔在支气管镜检查时偶然发现。乳腺癌、结肠癌和肾腺癌可能与ETM有关,肺癌是最常见的病因。其发现与疾病晚期有关,但生存期将取决于原发灶、患者状况和合并症。因此,治疗应因人而异。在我们中心,对于患有转移性结肠腺癌的患者,我们建议术前进行支气管镜检查以排除气管内转移性病变,因为这可能会影响最终结果,进而影响疾病的治疗。