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肺癌向肾上腺和脾脏的非典型播散。

Atypical dissemination of lung cancer to the adrenal gland and to the spleen.

作者信息

Chorąży Marek, Majcher Marta, Fedyszyn-Urbanowicz Katarzyna, Bierzyńska-Macyszyn Grażyna, Kwiatkowski Robert

机构信息

Department of Clinical Oncology and Internal Medicine, St. Leszczyński Hospital, Katowice, Poland.

出版信息

Contemp Oncol (Pozn). 2012;16(5):444-6. doi: 10.5114/wo.2012.31777. Epub 2012 Nov 20.

DOI:10.5114/wo.2012.31777
PMID:23788926
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3687445/
Abstract

Metastases of lung cancer to such organs as the liver, bones or to the central nervous system appear to be a frequent complication of this disease. At the same time, metastases to the adrenal gland are found less frequently. Metastases of lung cancer to the spleen are a great rarity and they are described sporadically. Our report presents a unique case of left lung cancer with simultaneous metastases to the adrenal gland and to the spleen. All the presented lesions were diagnosed by ultrasound guided biopsy and confirmed by histopathological examination. The patient received combined chemoradiotherapy. She was closely monitored over an 18-month observation period following treatment. No new metastases were reported.

摘要

肺癌转移至肝脏、骨骼或中枢神经系统等器官似乎是这种疾病常见的并发症。与此同时,肺癌转移至肾上腺的情况较少见。肺癌转移至脾脏极为罕见,仅有零星报道。我们的报告呈现了一例独特的左肺癌病例,同时伴有肾上腺和脾脏转移。所有呈现的病灶均通过超声引导下活检确诊,并经组织病理学检查证实。该患者接受了放化疗联合治疗。治疗后,在18个月的观察期内对她进行了密切监测。未报告有新的转移灶。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/62a33ff85ae2/WO-16-19736-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/898e86703b4f/WO-16-19736-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/fe58dae8e6a5/WO-16-19736-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/62a33ff85ae2/WO-16-19736-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/898e86703b4f/WO-16-19736-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/fe58dae8e6a5/WO-16-19736-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b6f/3687445/62a33ff85ae2/WO-16-19736-g003.jpg

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本文引用的文献

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Isolated splenic metastasis from lung squamous cell carcinoma.孤立性脾转移来自肺鳞癌。
World J Surg Oncol. 2012 Jan 27;10:24. doi: 10.1186/1477-7819-10-24.
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Adrenal mass imaging with multidetector CT: pathologic conditions, pearls, and pitfalls.多排螺旋CT肾上腺肿块成像:病理情况、要点与陷阱
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Solitary splenic metastasis of an adenocarcinoma of the lung 2 years postoperatively.肺癌腺癌术后2年出现孤立性脾转移。
Acta Chir Belg. 2008 Jul-Aug;108(4):462-3. doi: 10.1080/00015458.2008.11680265.
9
Incidental littoral cell angioma of the spleen.脾脏偶然发现的沿岸细胞血管瘤。
World J Surg Oncol. 2008 Aug 19;6:87. doi: 10.1186/1477-7819-6-87.
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Primary carcinosarcoma of the spleen: case report of a rare tumor and review of the literature.脾脏原发性癌肉瘤:1例罕见肿瘤病例报告及文献复习
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