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肺淋巴上皮瘤样癌伴皮下转移的临床沉默:一例报告。

Clinical silence of pulmonary lymphoepithelioma-like carcinoma with subcutaneous metastasis: a case report.

机构信息

Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.

Translational Research Program, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.

出版信息

World J Surg Oncol. 2019 Jul 24;17(1):128. doi: 10.1186/s12957-019-1671-z.

Abstract

BACKGROUND

Dissemination of lung cancer to cutaneous sites usually results in a poor prognosis. Pulmonary lymphoepithelioma-like carcinoma (PLELC) is a rare tumor, and no therapeutic strategy for it has yet been established. We present herein an extremely rare case of a long-term surviving patient with PLELC showing subcutaneous metastasis.

CASE PRESENTATION

A 76-year-old woman was diagnosed unexpectedly as having PLELC based on a nodule on her back. After surgical resection of the primary and metastatic lesions, she has remained alive with no recurrence for over 5 years without any additional therapy.

CONCLUSION

Even in the case of PLELC with subcutaneous metastasis, surgical management may afford a prognosis of long-term survival.

摘要

背景

肺癌向皮肤部位扩散通常预示着不良预后。肺淋巴上皮瘤样癌(PLELC)是一种罕见的肿瘤,目前尚未确立针对它的治疗策略。我们在此报告一例极为罕见的 PLELC 长期生存患者,其表现为皮下转移。

病例介绍

一名 76 岁女性因背部结节而意外被诊断为 PLELC。在对原发和转移病灶进行手术切除后,患者未接受任何其他治疗,已无复发并存活超过 5 年。

结论

即使 PLELC 发生皮下转移,手术治疗也可能带来长期生存的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d572/6652011/a5a0ebaec101/12957_2019_1671_Fig1_HTML.jpg

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