Wakabayashi J, Kikuchi K, Anso T
Dept. of Pathology, Sapporo Medical College.
Gan No Rinsho. 1988 Jul;34(8):1019-23.
A case of 70-year old male manifesting a simultaneous adenocarcinoma, malignant lymphoma and silicotuberculosis in the same lung has been reported. The patient, who had worked as a miner for 24 years and had been treated for silicosis 11 years previously, was found to have a new, abnormal shadow during a routine chest X-ray. Later, sputum cytology revealed the adenocarcinoma. He was treated with chemotherapy, but died 24 months later, his death attributed to lung cancer, complicated with respiratory insufficiency and weakness. An autopsy confirmed the presence of an adenocarcinoma and silicotuberculosis, and a histological examination revealed the coexistence of malignant lymphoma in the same lung.
据报道，一名70岁男性患者同一肺叶同时出现腺癌、恶性淋巴瘤和硅肺结核。该患者曾从事矿工工作24年，11年前曾因矽肺接受治疗，在一次常规胸部X光检查中发现有新的异常阴影。后来，痰细胞学检查发现了腺癌。他接受了化疗，但24个月后死亡，死因是肺癌，并发呼吸功能不全和身体虚弱。尸检证实存在腺癌和硅肺结核，组织学检查显示同一肺叶中存在恶性淋巴瘤。
