Department of Radiology, Dana-Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA.
AJR Am J Roentgenol. 2011 Sep;197(3):W392-8. doi: 10.2214/AJR.10.5757.
Extrapulmonary small cell carcinoma (EPSCC) is a rare, aggressive neoplasm arising from virtually any organ. Numerous oncologic studies have addressed prognostic indicators and survival rates in EPSCC, however relatively little has been published regarding the imaging features and metastatic patterns of these uncommon tumors. This article provides a pictorial review of EPSCC in multiple organs, emphasizing the imaging appearance at presentation and the radiologic patterns of recurrence/metastasis.
Although the appearance of EPSCC is often nonspecific, the typical presentation is large aggressive tumors that, similar to small cell carcinoma in the lung, often respond well to local therapy but tend to recur relentlessly at distant sites.
肺外小细胞癌(EPSCC)是一种罕见的侵袭性肿瘤,几乎可以起源于任何器官。许多肿瘤学研究都探讨了 EPSCC 的预后指标和生存率,但关于这些罕见肿瘤的影像学特征和转移模式的研究相对较少。本文通过多器官 EPSCC 的影像学表现,重点介绍其初始表现和复发/转移的影像学模式,对其进行了图像回顾。
虽然 EPSCC 的表现通常是非特异性的,但典型的表现是大而侵袭性的肿瘤,与肺部的小细胞癌相似,通常对局部治疗反应良好,但往往会在远处部位无休止地复发。