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小细胞肺癌合并复发性多软骨炎 1 例报告并文献复习

Small cell lung cancer with relapsing polychondritis: A report of one case and the review of literature.

机构信息

Department of Pneumology, 74545Dalian Municipal Central Hospital, Dalian, China.

Department of Medical Examination Center, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Int J Immunopathol Pharmacol. 2022 Jan-Dec;36:3946320221120962. doi: 10.1177/03946320221120962.

Abstract

The present study reports the clinical data of a patient with small cell lung cancer who developed relapsing polychondritis. We report a case of a 57-year-old female presented with cough, expectoration, and fever. A Computed Tomography (CT) scan performed at the hospital revealed diffuse thickening of bronchial walls in both lungs. Bronchoscopy revealed that the tracheal mucosa was thickened, narrowed, and collapsed, and the bronchoscope could pass through. The bronchial mucosa on both sides was thickened and edematous, the surface was rough, each bronchus was narrow, and the intervertebral ridges were widened. Needle biopsy: considering small cell carcinoma in combination with immunohistochemical results. Her symptom was not improved after anti-infective therapy. The left auricle was red and swollen, the auricle collapsed, and the left eye had subconjunctival hemorrhage during her hospitalization without obvious cause. After multidisciplinary consultation, pulmonary small cell lung cancer cT0N2Mx rumen lymph node metastasis and RP were considered. Treatment: Prednisone, orally for RP. Chemotherapy combined with radiotherapy was given for small cell lung cancer. The chemotherapy regimen was carboplatin combined with etoposide. The patient has already been followed for 1 year after receiving chemoradiotherapy; the condition of the patient is stable at present. Based on the case of our patient, for cases of RP with symptoms such as auricle chondritis, ocular inflammatory disease, and nasal chondritis, we should pay great attention to whether the case is caused by lung cancer with relapsing polychondritis. Because of the rarity of the disease, the clinician should improve the recognition of the disease in order to strive for early diagnosis and therapy.

摘要

本研究报告了一例小细胞肺癌患者并发复发性多软骨炎的临床资料。我们报告了一例 57 岁女性患者,因咳嗽、咳痰和发热就诊。医院进行的计算机断层扫描(CT)显示双肺支气管壁弥漫性增厚。支气管镜检查显示气管黏膜增厚、狭窄和塌陷,支气管镜可以通过。两侧支气管黏膜增厚、水肿,表面粗糙,每个支气管狭窄,肋脊间隙增宽。针吸活检:结合免疫组化结果考虑小细胞癌。抗感染治疗后,她的症状没有改善。住院期间,她的左耳红肿,耳廓塌陷,左眼出现结膜下出血,无明显原因。经过多学科会诊,考虑为肺小细胞肺癌 cT0N2Mx rumen 淋巴结转移和 RP。治疗:RP 给予泼尼松,口服。小细胞肺癌给予化疗联合放疗。化疗方案为卡铂联合依托泊苷。患者在接受放化疗后已经随访 1 年;目前患者病情稳定。基于我们患者的病例,对于有耳廓软骨炎、眼部炎症性疾病和鼻软骨炎等症状的 RP 病例,我们应该高度重视是否由肺癌合并复发性多软骨炎引起。由于该疾病的罕见性,临床医生应提高对该疾病的认识,以便争取早期诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdaa/9379949/e7cac64c1a09/10.1177_03946320221120962-fig1.jpg

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