Arnold Laura M, Burman Sudeep D, O-Yurvati Albert H
Department of Surgery at University of North Texas Health Science Center and at Plaza Medical Center in Fort Worth, Texas 76107-2553, USA.
J Am Osteopath Assoc. 2010 Apr;110(4):244-6.
Leiomyosarcomas are cancers of smooth muscle cells that can arise from any location but occur most often in the uterus, retroperitoneum, or intraabdominal region. Primary leiomyosarcomas of the lung are extremely rare and are often diagnosed as a mass on routine chest radiography. Metastasis is uncommon and typically occurs late in the disease process, indicating the importance of early detection. Surgical excision is generally curative, offering patients optimal prognoses. The authors describe a 56-year-old asymptomatic man who was found to have a pulmonary mass on routine chest radiography. Further testing revealed a primary pulmonary leiomyosarcoma. The tumor was excised and postoperative osteopathic manipulative treatment was applied to help facilitate patient recovery. A brief discussion of the typical clinical presentation, prevalence, and medical management of these tumors is included.
平滑肌肉瘤是一种起源于平滑肌细胞的癌症，可发生于任何部位，但最常出现在子宫、腹膜后或腹腔内区域。原发性肺平滑肌肉瘤极为罕见，常在常规胸部X线检查时被诊断为肺部肿块。转移并不常见，通常发生在疾病进程的晚期，这表明早期检测的重要性。手术切除通常可治愈，为患者提供最佳预后。作者描述了一名56岁无症状男性，他在常规胸部X线检查时被发现有肺部肿块。进一步检查发现是原发性肺平滑肌肉瘤。肿瘤被切除，术后采用整骨手法治疗以促进患者康复。文中还简要讨论了这些肿瘤的典型临床表现、发病率及医学处理方法。
