Sardar Muhammad, Azharuddin Muhammad, Khan Wahab J, Noory Mohammad A, Shaikh Nasreen, Malik Saad Ullah, Du Doantrang
Internal Medicine, Monmouth Medical Center, Long Branch, USA.
Pathology, Monmouth Medical Center, Long Branch, USA.
Cureus. 2018 Jun 20;10(6):e2848. doi: 10.7759/cureus.2848.
A 59-year-old male with a medical history of abdominal aortic dissection underwent a follow-up computed tomography (CT) scan abdomen, which showed an incidental pleural-based mass in the left lung base. The patient underwent an ultrasound (US)-guided biopsy and the histology was consistent with spindle cell carcinoma (SpCC). Staging workup was concerning for a metastatic lesion on the adrenal gland. The patient refused surgery and was subsequently started on chemotherapy. SpCC is a rare histological variant of sarcomatoid carcinoma. The prognosis is generally poor and treatment is the same as for other non-small cell lung cancers (NSCLC). The literature on disease progression and treatment is limited.
一名有腹主动脉夹层病史的59岁男性接受了腹部计算机断层扫描（CT）随访，结果显示左肺底部意外发现一个胸膜下肿块。患者接受了超声（US）引导下活检，组织学检查结果与梭形细胞癌（SpCC）一致。分期检查发现肾上腺有转移瘤。患者拒绝手术，随后开始化疗。SpCC是肉瘤样癌的一种罕见组织学变体。其预后通常较差，治疗方法与其他非小细胞肺癌（NSCLC）相同。关于该疾病进展和治疗的文献有限。
