Shimizu Yasuomi, Iguchi Taro, Nitta Yujiro, Machida Yuichi, Kuratsukuri Katsuyuki, Kawashima Hidenori, Nakatani Tatsuya
Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Urol Case Rep. 2014 Sep 22;2(6):179-80. doi: 10.1016/j.eucr.2014.07.007. eCollection 2014 Nov.
A 62-year-old man was referred to our hospital for an axillary mass. Computed tomography (CT) revealed a right axillary tumor and a left renal tumor. Needle biopsies of lung tumor and renal tumor were performed, but a definite diagnosis was impossible. Because his performance status worsened and the lung tumor grew day by day, chemotherapy with gemcitabine and cisplatin was started without definite diagnosis. However, the chemotherapy could not be continued because of interstitial pneumonia and the patient died because of the progression of disease. The final histopathologic diagnosis was pulmonary pleomorphic carcinoma based on immunohistochemical staining.
一名62岁男性因腋窝肿块被转诊至我院。计算机断层扫描（CT）显示右侧腋窝肿瘤和左侧肾肿瘤。对肺部肿瘤和肾肿瘤进行了针吸活检，但无法做出明确诊断。由于其身体状况恶化且肺部肿瘤日益增大，在未明确诊断的情况下开始了吉西他滨和顺铂化疗。然而，由于间质性肺炎，化疗无法继续，患者因疾病进展而死亡。最终经免疫组化染色确诊为肺多形性癌。
