Hajouji L, Mennecier B, de la Haye Saint-Hilaire D, Bierry G, Canuet M, Quoix E
Service de pneumologie, hôpital civil, CHU de Strasbourg, 1 avenue de l'Hôpital, Strasbourg, France.
Rev Pneumol Clin. 2011 Apr;67(2):75-81. doi: 10.1016/j.pneumo.2010.09.001. Epub 2010 Dec 3.
Muscular metastasis from primary bronchial carcinoma are rare. We report seven cases with different clinical features. In most cases, these metastasis first manifested as a painful mass and revealed the cancer. Localisation of muscular metastasis was assessed by various imaging techniques (RMI, CT scan and ultrasonography). All cases were assessed by biopsy and were associated with primary adenocarcinoma or undifferentiated large cell carcinoma of the lung. Three patients underwent wide excision, leading to an improvement of general condition. All patients were treated with platinum-based chemotherapy. With reference to our cases, imaging of the metastases will be illustrated and clinical and therapeutic features will be discussed.
原发性支气管癌的肌肉转移罕见。我们报告7例具有不同临床特征的病例。多数情况下，这些转移首先表现为疼痛性肿块并提示癌症。通过各种影像学技术（放射性核素显像、CT扫描和超声检查）评估肌肉转移的部位。所有病例均经活检评估，均与肺原发性腺癌或未分化大细胞癌相关。3例患者接受了广泛切除，全身状况得到改善。所有患者均接受铂类化疗。结合我们的病例，将阐述转移灶的影像学表现，并讨论临床和治疗特征。
