Shomura Shin, Suzuki Hitoshi, Yada Masaki, Kondo Chiaki
Department of Thoracic Surgery, Mie General Medical Center, Yokkaichi, Japan.
Kyobu Geka. 2015 Nov;68(11):955-7.
We report an operative case of primary clear cell carcinoma of the lung. A 47-year-old man consulted our hospital because of back pain and an abnormal shadow on a chest computed tomography(CT). A chest CT revealed a nodule in the lung cyst. A diagnosis of lung cancer was suspected and the patient underwent right upper lobectomy with standard nodal dissection. Pathological findings are the lung cancer spreading along the cysts' inner walls. Most of the tumor cells were characterized as having large clear cytoplasm. Screening of the abdomen performed pre- and post-operatively revealed no suspected primary lesion in the kidney, and the tumor was diagnosed as clear cell carcinoma of the lung. Postoperative adjuvant chemotherapy with cisplatin and vinorelbine ditartrate was performed. Patient is well without reccurence 3 years after surgery.
我们报告一例原发性肺透明细胞癌的手术病例。一名47岁男性因背痛和胸部计算机断层扫描(CT)出现异常阴影前来我院就诊。胸部CT显示肺囊肿内有一个结节。怀疑为肺癌,患者接受了右上叶切除术及标准淋巴结清扫术。病理结果显示肺癌沿囊肿内壁扩散。大多数肿瘤细胞的特征是具有大的透明细胞质。术前和术后进行的腹部检查未发现肾脏有可疑的原发性病变,该肿瘤被诊断为肺透明细胞癌。术后采用顺铂和酒石酸长春瑞滨进行辅助化疗。患者术后3年情况良好,无复发。