Kurishima Koichi, Satoh Hiroaki, Kagohashi Katsunori, Miyazaki Kunihiko, Tamura Tomohiro, Shiozawa Toshihiro, Ohara Gen, Kawaguchi Mio, Takayashiki Norio, Hizawa Nobuyuki
Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, Mito, Ibaraki 310-0015, Japan.
Division of Respiratory Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan.
Oncol Lett. 2014 Nov;8(5):2310-2312. doi: 10.3892/ol.2014.2473. Epub 2014 Aug 21.
Certain internal malignancies, including colon cancer, can develop endobronchial metastasis. The present study reports a case of colon cancer with superficial-type endobronchial metastases in a 76-year-old male. Chest computed tomography revealed small masses and infiltrates in each lung, with bilateral hilar lymph node swelling. Superficial endobronchial tumors in each of the bronchi were unexpectedly found by bronchoscopic examination. A biopsy specimen obtained from the endobronchial tumor was diagnosed as colon cancer. Superficial-type endobronchial metastasis from colon cancer is extremely rare, however, such metastasis should be considered for patients who have a history of colon cancer. There should be no hesitation in performing a bronchoscopic biopsy as an additional examination.
某些内部恶性肿瘤,包括结肠癌,可发生支气管内转移。本研究报告了一例76岁男性结肠癌伴浅表型支气管内转移的病例。胸部计算机断层扫描显示双肺有小结节和浸润影,双侧肺门淋巴结肿大。支气管镜检查意外发现各支气管内有浅表肿瘤。取自支气管内肿瘤的活检标本被诊断为结肠癌。结肠癌的浅表型支气管内转移极为罕见,然而,对于有结肠癌病史的患者应考虑这种转移。作为进一步检查,进行支气管镜活检时不应有任何犹豫。