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一例被误诊为隐源性机化性肺炎的鳞状细胞癌病例报告

A Case Report of Squamous Cell Carcinoma Misdiagnosed as Cryptogenic Organizing Pneumonia.

作者信息

Chaudhary Krishna, Kaur Preetraj, Poudel Binod, Schroeder Kyle, Khatri Vinod

机构信息

Internal Medicine, Mercy Health St. Vincent Medical Center, Toledo, USA.

Internal Medicine, Jefferson Abington Hospital, Abington, USA.

出版信息

Cureus. 2023 Jul 27;15(7):e42574. doi: 10.7759/cureus.42574. eCollection 2023 Jul.

DOI:10.7759/cureus.42574
PMID:37637577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10460266/
Abstract

After adenocarcinoma, squamous cell lung cancer is the most common type of non-small cell lung cancer (NSCLC) among non-smokers. A tissue biopsy followed by imaging (chest X-ray, computed tomography (CT) lung, and positron emission tomography (PET) scan) is the best modality for confirmation and staging of the disease. Sometimes, the histopathological appearance of squamous cell lung carcinoma (SCLC) can be confused with organizing pneumonia. Such findings can delay the diagnosis of SCLC, which can affect the treatment and course of the disease. Any lung mass that is highly suspicious for carcinoma should be closely monitored with imaging, and a repeat tissue biopsy should be done for a confirmation of the diagnosis to start appropriate therapy as soon as possible.

摘要

在腺癌之后,鳞状细胞肺癌是不吸烟者中最常见的非小细胞肺癌(NSCLC)类型。组织活检后进行影像学检查(胸部X光、计算机断层扫描(CT)肺部检查和正电子发射断层扫描(PET))是确诊和分期该疾病的最佳方式。有时,鳞状细胞肺癌(SCLC)的组织病理学表现可能与机化性肺炎相混淆。这些发现可能会延迟SCLC的诊断,从而影响疾病的治疗和进程。任何高度怀疑为癌的肺部肿块都应通过影像学密切监测,并且应再次进行组织活检以确诊,以便尽快开始适当的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/178314b22ee7/cureus-0015-00000042574-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/b738d8335d37/cureus-0015-00000042574-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/9b7260482d63/cureus-0015-00000042574-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/4797b6486880/cureus-0015-00000042574-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/86c2187699f2/cureus-0015-00000042574-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/723666e4a745/cureus-0015-00000042574-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/05b1599bf962/cureus-0015-00000042574-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/f35f0bfd457a/cureus-0015-00000042574-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/ccb629dfbb22/cureus-0015-00000042574-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/178314b22ee7/cureus-0015-00000042574-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/b738d8335d37/cureus-0015-00000042574-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/9b7260482d63/cureus-0015-00000042574-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/4797b6486880/cureus-0015-00000042574-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/86c2187699f2/cureus-0015-00000042574-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/723666e4a745/cureus-0015-00000042574-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/05b1599bf962/cureus-0015-00000042574-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/f35f0bfd457a/cureus-0015-00000042574-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/ccb629dfbb22/cureus-0015-00000042574-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b594/10460266/178314b22ee7/cureus-0015-00000042574-i09.jpg

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