一例小细胞肺癌卵巢转移破裂病例。
A case of ruptured ovarian metastasis of small cell lung cancer.
作者信息
Yamamoto Ryuta, Tobino Kazunori, Uchida Kazuki, Ooi Ryunosuke, Yoshimine Kohei
机构信息
Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Japan.
Department of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
出版信息
Respir Med Case Rep. 2022 Jul 31;39:101717. doi: 10.1016/j.rmcr.2022.101717. eCollection 2022.
A 53-year-old woman with small-cell lung cancer (SCLC) presented at our hospital complaining of abdominal distention. Blood tests revealed rapidly progressive normocytic anemia and elevated lactate dehydrogenase levels. Pelvic magnetic resonance imaging revealed a left ovarian tumor and ascites. As her symptoms rapidly worsened, she underwent emergency surgery, which revealed a ruptured metastatic ovarian tumor of SCLC. Emergency surgery averted a life-threatening situation in this patient, and subsequent chemotherapy facilitated long-term survival. As seen from literature review, in female SCLC patients, ovarian metastasis and rupture is a rare but possible complication that should be considered because of its life-threatening nature.
一名53岁的小细胞肺癌（SCLC）女性患者因腹胀前来我院就诊。血液检查显示为快速进展的正细胞性贫血且乳酸脱氢酶水平升高。盆腔磁共振成像显示左侧卵巢肿瘤及腹水。由于其症状迅速恶化，她接受了急诊手术，术中发现为小细胞肺癌的转移性卵巢肿瘤破裂。急诊手术避免了该患者生命受到威胁的情况，随后的化疗促进了长期生存。从文献回顾中可以看出，在女性小细胞肺癌患者中，卵巢转移和破裂是一种罕见但可能出现的并发症，因其具有危及生命的性质，所以应予以考虑。
Zotero 插件