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以直肠肿块为表现的播散性肺癌。

Disseminated lung cancer presenting as a rectal mass.

作者信息

Noergaard Mia M, Stamp Inger M H, Bodtger Uffe

机构信息

Department of Pulmonology, Naestved Hospital, Naestved, Denmark.

Department of Pathology, Naestved Sygehus, Naestved, Denmark.

出版信息

Eur Clin Respir J. 2016 Sep 27;3:31726. doi: 10.3402/ecrj.v3.31726. eCollection 2016.

DOI:10.3402/ecrj.v3.31726
PMID:27683028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5040824/
Abstract

Primary lung cancer is the leading cause of cancer-related deaths globally, and approximately 50% had metastatic disease at the time of diagnosis. A rectal mass and unintended weight loss are common manifestations of rectal cancer. Our case presented with a rectal mass, but workup revealed a metastatic lesion from lung cancer. Lung cancer metastases to the lower gastrointestinal tract imply reduced survival compared with the already poor mean survival of stage IV lung cancer. Despite relevant therapy, the patient died 5 months after referral.

摘要

原发性肺癌是全球癌症相关死亡的主要原因,约50%的患者在诊断时已发生转移性疾病。直肠肿块和意外体重减轻是直肠癌的常见表现。我们的病例表现为直肠肿块,但检查发现是肺癌转移灶。肺癌转移至下消化道意味着与IV期肺癌本就不佳的平均生存期相比,患者生存期会缩短。尽管进行了相关治疗,患者在转诊后5个月死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/70ecfdcbd4e3/ECRJ-3-31726-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/bc143b291557/ECRJ-3-31726-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/b9889227cb7b/ECRJ-3-31726-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/70ecfdcbd4e3/ECRJ-3-31726-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/bc143b291557/ECRJ-3-31726-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/b9889227cb7b/ECRJ-3-31726-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7610/5040824/70ecfdcbd4e3/ECRJ-3-31726-g003.jpg

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本文引用的文献

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A case of metastatic rectal squamous cell carcinoma initially diagnosed as lung cancer.一例最初被诊断为肺癌的转移性直肠鳞状细胞癌病例。
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Lung cancer with gastrointestinal metastasis - review of theories of metastasis with three rare case descriptions.伴有胃肠道转移的肺癌——结合三例罕见病例描述对转移理论的综述
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Metastasis to the colon from lung cancer presenting with severe hyponatremia and dyspnea in a young male: A case report and review of the literature.
一名年轻男性肺癌转移至结肠,伴严重低钠血症和呼吸困难:病例报告及文献复习
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Differentiating rectal carcinoma by an immunohistological analysis of carcinomas of pelvic organs based on the NCBI Literature Survey and the Human Protein Atlas database.基于 NCBI Literature Survey 和 Human Protein Atlas 数据库的免疫组织化学分析对盆腔器官癌进行直肠癌鉴别。
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