Lee Chaiyoung, Jeong Byeong-Ho, Lee Kyungjong, Zo Jae Il, Sun Jong-Mu, Choi Yoon-La, Kim Hojoong
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Respir Med Case Rep. 2021 Mar 3;32:101373. doi: 10.1016/j.rmcr.2021.101373. eCollection 2021.
Here, we report a thirteen years' survivor of initial primary lung cancer, who successfully diagnosed with second primary lung cancer(SPLC). It was arising from the pneumonectomy cavity of a non-small cell lung cancer(NSCLC). Few cases of SPLC associated with the post-pneumonectomy cavity have been reported in the literature. The histologic results of SPLC was metastatic pleomorphic carcinoma. It is a rare type of lung cancer; which incidence has been reported to range from 0.1% to 0.4% among all lung cancers. Based on regular follow-up with chest computed tomography(CT) and an understanding of post-pneumonectomy changes, the second primary pleomorphic carcinoma was correctly diagnosed and appropriately treated.
在此,我们报告一例原发性肺癌存活13年的患者,其被成功诊断为第二原发性肺癌(SPLC)。该肿瘤起源于非小细胞肺癌(NSCLC)肺叶切除术后的残腔。文献中报道的与肺叶切除术后残腔相关的SPLC病例很少。SPLC的组织学结果为转移性多形性癌。这是一种罕见的肺癌类型;据报道,其在所有肺癌中的发病率为0.1%至0.4%。基于胸部计算机断层扫描(CT)的定期随访以及对肺叶切除术后变化的了解,第二原发性多形性癌得以正确诊断并得到适当治疗。