Milleron B, Blanchon F, Collot L, Choffel C, Akoun G, Brocard H
Sem Hop. 1979;55(37-38):1673-8.
Clinical and physiopathological data about 10 cases of bilateral squamous cell bronchial carcinoma with simultaneous revelation, are reviewed. This clinical form is not rare, usually found by a systematic bilateral endoscopy. In these 10 cases, the clinical and radiological data did not allow to predict the diagnosis before the endoscopy. Physio-pathological mechanisms are not well established. Various hypotheses are propounded : air-way, blood or lymphatic metastases, simultaneous tumoral blossoming, superficial propagation, genetic factors intervention. For these 10 cases, the authors develop arguments for one or another of these mechanisms.
本文回顾了10例同时发现的双侧鳞状细胞支气管癌的临床和生理病理学数据。这种临床类型并不罕见,通常通过系统性双侧内窥镜检查发现。在这10例病例中,临床和放射学数据在内窥镜检查前无法预测诊断结果。生理病理机制尚未完全明确。提出了各种假设:气道、血液或淋巴转移、肿瘤同时发生、表面扩散、遗传因素干预。对于这10例病例,作者为这些机制中的一种或另一种提供了论据。