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[原发灶不明癌——临床实践]

[Carcinoma unknown primary-clinical practice].

作者信息

Onozawa Yusuke

机构信息

Division of Clinical Oncology, Shizuoka Cancer Center.

出版信息

Gan To Kagaku Ryoho. 2014 Jul;41(7):799-803.

Abstract

Carcinomas of unknown primary are cancers that are pathologically diagnosed as carcinomas based on the findings of metastatic lesion biopsy but in which the primary site remains unknown even after thorough and detailed examinations.In the clinical setting, pathological diagnosis and diagnostic imaging are very important for cases of carcinoma of unknown primary. When examinations do not identify the primary tumor, carcinoma cases are treated as carcinoma of unknown primary.In clinical practice, it is very important not to miss cases of favorable prognosis group, which is 20% of unknown cancer. Recently, microarray studies have been performed for cases of carcinoma of unknown primary.

摘要

原发灶不明的癌是指根据转移病灶活检结果经病理诊断为癌,但即便经过全面细致检查后原发部位仍不明的癌症。在临床环境中,病理诊断和诊断成像对于原发灶不明的癌病例非常重要。当检查未能识别出原发肿瘤时,这些癌病例就被当作原发灶不明的癌来治疗。在临床实践中,不漏诊预后良好组病例(占不明癌症的20%)非常重要。最近,已经对原发灶不明的癌病例进行了微阵列研究。

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