Parsi Meghana, Vivacqua Raymond J
Internal Medicine, Crozer-Chester Medical Center, Upland, USA.
Hematology and Medical Oncology, Crozer-Chester Medical Center, Upland, USA.
Cureus. 2020 Aug 20;12(8):e9888. doi: 10.7759/cureus.9888.
A 68-year-old female patient diagnosed with lung cancer in the left upper lobe with associated mediastinal adenopathy. The cancer was pathologically diagnosed as stage pT1bN0 typical carcinoid. Investigation of the mediastinal lymph nodes revealed an isolated metastatic non-small cell squamous cell carcinoma (NSCLC). A primary NSCLC was not found. The patient underwent successful surgical resection of both synchronous tumors, with no residual disease or recurrence. This case not only expands the histological field of combined neuroendocrine tumors, but it also highlights the importance of distinguishing various tumor types for disease treatment and prognosis.
一名68岁女性患者,被诊断为左上叶肺癌并伴有纵隔淋巴结肿大。该癌症经病理诊断为pT1bN0期典型类癌。对纵隔淋巴结的检查发现了孤立转移的非小细胞鳞状细胞癌(NSCLC),未发现原发性NSCLC。患者成功接受了同步肿瘤的手术切除,无残留疾病或复发。该病例不仅扩展了神经内分泌肿瘤合并症的组织学范畴,还凸显了区分不同肿瘤类型对疾病治疗和预后的重要性。