Hajjaj Nada, Abdulelah Mohammad, Alsharif Nada M, Shamieh Elias, Bader Husam
Department of Internal Medicine, University of Jordan, Amman, JOR.
Department of Internal Medicine, Presbyterian Medical Center, Albuquerque, USA.
Cureus. 2021 Jun 27;13(6):e15977. doi: 10.7759/cureus.15977. eCollection 2021 Jun.
Diagnosis of synchronous multiple primary lung cancers (SMPLCs) is a challenge as multiple lesions on chest CT imaging can be misdiagnosed as more common entities such as metastatic disease or infections. The possibility of multiple primary lung cancers should always be considered. Accurate diagnosis can significantly change the management and prognosis. We report a case of a 57-year-old woman, an ex-smoker with chronic obstructive pulmonary disease (COPD), who was found to have synchronous endobronchial carcinoid tumor and adenocarcinoma of the lung. The association of carcinoid tumors and adenocarcinoma of the lung has been infrequently reported, with only a handful of cases published to date. Early diagnosis of resectable tumors can improve survival in patients with SMPLCs.
同步性多原发性肺癌（SMPLCs）的诊断颇具挑战，因为胸部CT影像上的多个病灶可能会被误诊为更常见的疾病，如转移性疾病或感染。应始终考虑多原发性肺癌的可能性。准确的诊断可显著改变治疗方案和预后。我们报告一例57岁女性病例，该患者既往吸烟，患有慢性阻塞性肺疾病（COPD），被发现同时患有支气管内类癌肿瘤和肺腺癌。类癌肿瘤与肺腺癌的关联鲜有报道，迄今为止仅发表了少数病例。可切除肿瘤的早期诊断可提高SMPLCs患者的生存率。
