Lin Qiuqi, Ding Ling, Chen Cheng, Zhu Yehan
Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China.
Zhongguo Fei Ai Za Zhi. 2017 Sep 20;20(9):657-660. doi: 10.3779/j.issn.1009-3419.2017.09.12.
The lungs are the most common sites of metastases from non-pulmonary malignancies. On the other hand, endobronchial metastases are rare. Various tumors have been associated with endobronchial metastasis, most commonly renal, breast and colorectal cancer. Advanced rectal cancerwith lung metastasis is common. However, endobronchial metastasis without lung metastasis of rectal cancer is rare, and easily misdiagnosed. We report one case of postoperative rectal cancer with endobronchial, pleuralcavity, pericardial cavitymetastasis, giving the comprehensive treatment of bronchial stentimplantation, chemotherapy, targeted drugs and remission. The process of diagnosis and treatmentis relatively complex, therefore it has a certain clinical reference value.
肺是非肺恶性肿瘤最常见的转移部位。另一方面，支气管内转移很少见。多种肿瘤与支气管内转移有关，最常见的是肾癌、乳腺癌和结直肠癌。晚期直肠癌伴肺转移很常见。然而，直肠癌无肺转移的支气管内转移很少见，且容易误诊。我们报告1例术后直肠癌发生支气管内、胸腔、心包腔转移的病例，给予支气管支架植入、化疗、靶向药物等综合治疗后病情缓解。其诊治过程较为复杂，因此具有一定的临床参考价值。
