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因气胸检测出的肺多形性癌及随后出现的多发囊性转移。

Pulmonary pleomorphic carcinoma detected as a result of pneumothorax and the subsequent occurrence of multiple cystic metastases.

作者信息

Yamakawa Hideaki, Yoshida Masahiro, Yabe Masami, Baba Yuri, Baba Emiri, Katagi Hiroaki, Ishikawa Takeo, Takagi Masamichi, Nakada Takeo, Akiba Tadashi, Kuwano Kazuyoshi

机构信息

Department of Internal Medicine, Division of Respiratory Medicine, Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba, Japan.

Department of Internal Medicine, Division of Diagnostic Pathology, Jikei University School of Medicine, Kashiwa Hospital, Chiba, Japan.

出版信息

Case Rep Med. 2014;2014:219273. doi: 10.1155/2014/219273. Epub 2014 Aug 20.

DOI:10.1155/2014/219273
PMID:25214846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4158116/
Abstract

A 39-year-old man was admitted for spontaneous pneumothorax. He underwent pulmonary resection to correct the lesion causing the air leakage, and a pathological diagnosis of pulmonary pleomorphic carcinoma was made because we thought that the pneumothorax developed due to the direct rupture of necrotic neoplastic tissue into the pleural cavity. After the operation, the patient received chemotherapy, during which multiple cystic metastases gradually developed in the lung that caused repeated occurrences of pneumothorax. Clinicians must be careful to recognize that pneumothorax can also be a complication of primary and various metastatic pulmonary malignancies.

摘要

一名39岁男性因自发性气胸入院。他接受了肺切除术以纠正导致漏气的病变,病理诊断为肺多形性癌,因为我们认为气胸是由于坏死性肿瘤组织直接破入胸腔所致。术后,患者接受了化疗,在此期间肺部逐渐出现多个囊性转移灶,导致气胸反复发生。临床医生必须注意认识到气胸也可能是原发性和各种转移性肺恶性肿瘤的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/8f9e9b8a9bd1/CRIM2014-219273.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/54d6bbcf3675/CRIM2014-219273.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/37062c7f81f5/CRIM2014-219273.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/8f9e9b8a9bd1/CRIM2014-219273.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/54d6bbcf3675/CRIM2014-219273.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/37062c7f81f5/CRIM2014-219273.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38b4/4158116/8f9e9b8a9bd1/CRIM2014-219273.003.jpg

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Pulmonary metastasis from urothelial carcinoma showing progressive multiple cystic lesions.尿路上皮癌的肺转移表现为进行性多发囊性病变。
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Fine-needle aspiration cytology of pleomorphic carcinomas of the lung.肺多形性癌的细针穿刺细胞学检查
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