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以反复腹痛为首发症状的罕见病例:累及结肠的AL型淀粉样变性合并肺腺癌

A Rare Case with Recurrent Abdominal Pain as the First Symptom: AL Amyloidosis with Colon Involvement Combined with Pulmonary Adenocarcinoma.

作者信息

Wei Jiaojiao, Hu Yibing, Lu Chong, Hu Minli, Wang Qunying

机构信息

Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, People's Republic of China.

出版信息

J Inflamm Res. 2025 Jan 4;18:53-59. doi: 10.2147/JIR.S488876. eCollection 2025.

Abstract

BACKGROUND

Amyloidosis combined with lung cancer is a rare occurrence. To date, there are no reported cases of amyloid light-chain(AL) amyloidosis solely affecting the colon combined with pulmonary adenocarcinoma.

CASE SUMMARY

Here, we describe a case of a 66-year-old woman who presented with recurrent abdominal pain and was eventually diagnosed with AL amyloidosis with colon involvement and pulmonary adenocarcinoma. We also review the relevant literature and discuss the relationship between amyloidosis and lung malignancies. Significantly, lung cancer may contribute to the deposition of amyloid through paraneoplastic mechanisms. And in published case reports, the pathological type of lung cancer associated with AL amyloidosis was all adenocarcinoma.

CONCLUSION

Such cases are rare but provide new insights into the relationship between amyloidosis and lung malignancies. The mechanism of amyloid protein deposition in relation to lung cancer or malignancies remains unknown, further research in this field is warranted.

摘要

背景

淀粉样变性合并肺癌较为罕见。迄今为止,尚无仅累及结肠的淀粉样轻链(AL)淀粉样变性合并肺腺癌的病例报道。

病例摘要

在此,我们描述了一名66岁女性病例,该患者反复出现腹痛,最终被诊断为伴有结肠受累的AL淀粉样变性和肺腺癌。我们还回顾了相关文献,并讨论了淀粉样变性与肺恶性肿瘤之间的关系。值得注意的是,肺癌可能通过副肿瘤机制导致淀粉样蛋白沉积。在已发表的病例报告中,与AL淀粉样变性相关的肺癌病理类型均为腺癌。

结论

此类病例罕见,但为淀粉样变性与肺恶性肿瘤之间的关系提供了新的见解。淀粉样蛋白沉积与肺癌或恶性肿瘤相关的机制尚不清楚,该领域有必要进一步开展研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd87/11708202/7fff6c37daa5/JIR-18-53-g0001.jpg

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