Nosaka S, Murayama M, Morita K, Katsuda K
Department of Surgery, Iwakuni Minami Hospital, Iwakuni, Japan.
Kyobu Geka. 2011 May;64(5):426-9.
A 83-year-old male was referred to our hospital for further examination of abnormal shadow on chest radiography. Chest computed tomography (CT) showed a tumor mass in his right lung. Bronchoscopy brushing cytology revealed non-small cell lung carcinoma and right middle lobectomy was performed. Histological findings showed large cell carcinoma comprised of spindle cell component, finally diagnosing as pleomorphic carcinoma of the lung. Although he was diagnosed as pT2N0M0 (stage IA) after the operation, massive liver metastasis was found 7 months later. We report this case with references to the literatures on pleomorphic carcinoma of the lung.
一名83岁男性因胸部X线片上的异常阴影被转诊至我院进一步检查。胸部计算机断层扫描(CT)显示其右肺有一个肿瘤肿块。支气管镜刷检细胞学检查显示为非小细胞肺癌,遂行右肺中叶切除术。组织学检查结果显示为含有梭形细胞成分的大细胞癌,最终诊断为肺多形性癌。尽管术后诊断为pT2N0M0(IA期),但7个月后发现有大量肝转移。我们结合有关肺多形性癌的文献报道了该病例。