Jaiswal Ashish K, Chaterjee Iva, Mehta Manish, Ghanchi Firoz D, Santawani Pravina M
Department of Pulmonary Medicine, G.G.Hospital and M.P.S.Medical College, Jamnagar.
J Assoc Physicians India. 2012 Apr;60:76-8.
Primary Clear cell carcinoma of lung with distant metastasis is a rare tumour. Here is a case of 45 year old male presented with gradual onset dyspnoea, low grade fever and weight loss. Radiologically patient had hilar and parahilar lesion at posterior mediastinum with mild changes of chronic obstructive pulmonary disease with right supraclavicular, peripancreatic and celiac axis lymph nodes enlargement. Fine needle aspiration from lymph node followed by excision biopsy was done. For further localization Fibre optic Bronchoscopy was done which is followed by bronchial wash cytology and transbronchial needle aspiration and bronchial biopsy. Correlating all above diagnostic modalities diagnosis of metastatic clear cell adenocarcinoma of lung was made which is further supported by Immunohistochemistry.
原发性肺透明细胞癌伴远处转移是一种罕见的肿瘤。本文报道一例45岁男性患者，表现为逐渐出现的呼吸困难、低热和体重减轻。影像学检查显示患者后纵隔肺门及肺门旁有病变，伴有慢性阻塞性肺疾病的轻度改变，右锁骨上、胰周及腹腔动脉淋巴结肿大。对淋巴结进行了细针穿刺，随后进行了切除活检。为进一步定位，进行了纤维支气管镜检查，随后进行了支气管灌洗细胞学检查、经支气管针吸活检和支气管活检。综合上述所有诊断方法，诊断为肺转移性透明细胞腺癌，免疫组织化学进一步支持该诊断。
