Karita Ryo, Wada Hironobu, Onozato Yuki, Kamata Toshiko, Tamura Hajime, Anayama Takashi, Komuta Mina, Hayashi Yuichiro, Yoshino Ichiro, Yoshida Shigetoshi
Department of Thoracic Surgery, International University of Health and Welfare Narita Hospital, Narita, Japan.
Department of Pathology, International University of Health and Welfare Narita Hospital, Narita, Japan.
Ann Thorac Surg Short Rep. 2024 Jun 20;2(4):655-658. doi: 10.1016/j.atssr.2024.05.023. eCollection 2024 Dec.
Advanced-stage atypical carcinoid tumors are seldom seen in the teenaged population. Comprehensive care, extending beyond mere cancer treatment, is essential. A 16-year-old boy received a diagnosis of a 13-mm nodule in the left S lung segment with signs suggesting interlobar pleural indentation. A surgical biopsy revealed a neuroendocrine tumor, which led to lingular segmentectomy and lymph node dissection. The pathologic diagnosis was atypical carcinoid with intrapulmonary metastasis, classified as pT3 N0 M0 stage IIB. In addition to oncologic management for the advanced-stage atypical carcinoid, genetic counseling and meticulous mental support were provided. The accumulation of clinical data on teenaged patients with lung cancer is urgently needed.
晚期非典型类癌肿瘤在青少年人群中很少见。全面护理，不仅仅局限于单纯的癌症治疗，至关重要。一名16岁男孩被诊断出左肺S段有一个13毫米的结节，有提示叶间胸膜凹陷的迹象。手术活检显示为神经内分泌肿瘤，随后进行了舌段切除术和淋巴结清扫术。病理诊断为伴有肺内转移的非典型类癌，分类为pT3 N0 M0 ⅡB期。除了对晚期非典型类癌进行肿瘤学管理外，还提供了遗传咨询和精心的心理支持。迫切需要积累青少年肺癌患者的临床数据。
