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[原发性肺平滑肌肉瘤。结合一例病例的文献综述]

[Primary pulmonary leiomyosarcoma. Review of the literature apropos of a case].

作者信息

Defraigne J O, Borlee-Hermans G, Honore P, Meurisse M, Limet R

出版信息

J Chir (Paris). 1987 Apr;124(4):272-5.

PMID:3584289
Abstract

A 55-year-old patient with primary pulmonary leiomyosarcoma was treated by pneumonectomy. The diagnosis was established by histology of the operative piece. Bronchoscopy and cytology of expectorations were negative. This rare tumor (fewer than 100 cases described) differs from bronchial carcinoma by its method of spread, mainly hematogenic, and its better prognosis. clinical and radiographic data do not provide differential diagnoses. Treatment is essentially surgical since the tumor is only weakly radio-sensitive and responds poorly to chemotherapy.

摘要

一名55岁的原发性肺平滑肌肉瘤患者接受了肺切除术。通过手术标本的组织学检查确诊。支气管镜检查和痰液细胞学检查均为阴性。这种罕见肿瘤(报道病例少于100例)在扩散方式上与支气管癌不同,主要通过血行扩散,且预后较好。临床和影像学资料无法提供鉴别诊断。由于该肿瘤对放疗敏感性低且对化疗反应不佳,治疗主要以手术为主。

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