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[小细胞肺癌与抗Hu综合征]

[Small cell lung cancer and anti-Hu syndrome].

作者信息

Prim N, Mennecier B, Behr C, Fraisse P, Echaniz-Laguna A, Tranchant C, Quoix E

机构信息

Pôle de pathologie thoracique, service de pneumologie, hôpitaux universitaires de Strasbourg, BP 426, 67091 Strasbourg, France.

出版信息

Rev Mal Respir. 2010 Mar;27(3):261-5. doi: 10.1016/j.rmr.2010.02.006. Epub 2010 Mar 16.

Abstract

INTRODUCTION

The anti-Hu associated syndrome is a rare paraneoplastic neurological syndrome, which is principally associated with small-cell lung cancer.

OBSERVATION

We report the case of a patient with the following clinical features: dysautonomia with severe gastroparesis, sensory neuropathy and a rhombencephalitis. Tumour regression was obtained with chemotherapy but the patient ultimately died from the neurological complications.

CONCLUSION

Neurological syndromes associated in small cell lung cancer with anti-Hu antibodies are very diverse. Cancer evolution is generally speaking more benign than usual with the prognosis linked to the severity of the neurological involvement.

摘要

引言

抗Hu相关综合征是一种罕见的副肿瘤性神经综合征,主要与小细胞肺癌相关。

观察

我们报告了一例具有以下临床特征的患者:伴有严重胃轻瘫的自主神经功能障碍、感觉神经病变和菱形脑炎。化疗使肿瘤消退,但患者最终死于神经并发症。

结论

小细胞肺癌伴抗Hu抗体相关的神经综合征多种多样。一般来说,癌症进展比通常情况更良性,预后与神经受累的严重程度相关。

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