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应用多模态超声成像技术诊断肺腺样囊性癌:病例报告

Diagnosis of pulmonary adenoid cystic carcinoma using multimodal ultrasound imaging technology: A case report.

作者信息

Shi Hong, Qiu Wei, Yang Ping, Zhang Yaping, Huang Tingyu, Mei Jinyuan, Yin Xinrui, Yang Yanhui

机构信息

Department of Ultrasound, The First People's Hospital of Neijiang, Neijiang City, Sichuan Province, China.

Laboratory of Pathology, The First People's Hospital of Neijiang, Neijiang City, Sichuan Province, China.

出版信息

Medicine (Baltimore). 2025 Jan 3;104(1):e41212. doi: 10.1097/MD.0000000000041212.

Abstract

RATIONALE

Pulmonary adenoid cystic carcinoma (PACC) is an exceedingly uncommon malignant tumor originating from salivary glands.

PATIENT CONCERNS

We present a case of primary PACC with multiple lung metastases in a 48-year-old male patient.

DIAGNOSIS

Diagnosis involved grayscale ultrasound, shear wave elastography, contrast-enhanced ultrasound, and ultrasound-guided percutaneous lung biopsy, all conducted in a one-stop manner, and confirmed by pathological examination.

INTERVENTIONS

Treatment was recommended after the diagnosis was confirmed, but was not accepted.

OUTCOMES

With telephone follow-up, the patient survived.

LESSONS

PACC is an exceedingly uncommon malignant tumor originating from salivary glands. Compared to other cases, this case highlights the potential of multimodal ultrasound imaging for diagnosing lung tumors.

摘要

原理

肺腺样囊性癌(PACC)是一种极其罕见的起源于唾液腺的恶性肿瘤。

患者情况

我们报告一例48岁男性原发性PACC伴多发肺转移的病例。

诊断

诊断采用了灰阶超声、剪切波弹性成像、超声造影及超声引导下经皮肺穿刺活检,均一站式完成,并经病理检查确诊。

干预措施

确诊后建议进行治疗,但患者未接受。

结果

通过电话随访,患者存活。

经验教训

PACC是一种极其罕见的起源于唾液腺的恶性肿瘤。与其他病例相比,本病例突出了多模态超声成像在诊断肺部肿瘤方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d7/11709215/26e2c1ee8f3c/medi-104-e41212-g001.jpg

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