Tanriverdi Ozgur, Barutca Sabri, Meydan Nezih
Department of Medical Oncology, Mugla Sitki Kocman University Education and Research Hospital, Mugla, Turkey.
Contemp Oncol (Pozn). 2012;16(6):586-9. doi: 10.5114/wo.2012.32495. Epub 2013 Jan 4.
Lung cancer rarely involves the peritoneum without involvement of other metastatic sites. The most common regions of metastasis are the pleura, lung parenchyma, skeletal system, liver, brain, and adrenal glands. Compared with pleural metastasis, peritoneal involvement is rarely encountered in lung carcinoma. Ascites development is often described during late stages of the disease, following diagnosis in patients with serosal involvement other than pleural metastases. Diagnosis is based on histopathological or cytological examination confirmed by the presence of malign cells in the peritoneal fluids. Metastatic involvement of other areas is common and expected in cancer patients in whom peritoneal metastasis develop. There are no pulished reports of lung cancer cases with involvement of only the peritoneum without metastases to other more common regions. Herein we present a rare case of non-small cell lung carcinoma involving the peritoneum. The presented case had an unusual course and relapsed with peritoneal carcinomatosis without involvement of other regions.
肺癌很少在没有其他转移部位受累的情况下累及腹膜。最常见的转移部位是胸膜、肺实质、骨骼系统、肝脏、脑和肾上腺。与胸膜转移相比，肺癌中腹膜受累很少见。腹水通常在疾病晚期出现，发生于诊断为除胸膜转移外浆膜受累的患者。诊断基于组织病理学或细胞学检查，通过在腹膜液中发现恶性细胞得以证实。在发生腹膜转移的癌症患者中，其他部位的转移受累很常见且在意料之中。目前尚无仅累及腹膜而无其他更常见部位转移的肺癌病例的报道。在此，我们报告一例罕见的非小细胞肺癌累及腹膜的病例。该病例病程异常，复发时伴有腹膜癌病，而无其他部位受累。
