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青少年罕见肺癌病例的手术切除

Surgical Resection for Rare Cases of Lung Cancer in Teenagers.

作者信息

Sumiya Ryusuke, Matsunaga Takeshi, Watanabe Yukio, Fukui Mariko, Hattori Aritoshi, Hayashi Takuo, Takamochi Kazuya, Suzuki Kenji

机构信息

Department of General Thoracic Surgery Juntendo University School of Medicine Tokyo Japan.

Department of Human Pathology Juntendo University School of Medicine Tokyo Japan.

出版信息

Respirol Case Rep. 2025 Aug 6;13(8):e70281. doi: 10.1002/rcr2.70281. eCollection 2025 Aug.

DOI:10.1002/rcr2.70281
PMID:40771908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12328035/
Abstract

We experienced two cases of lung cancer in teenagers. Case 1 involved a 17-year-old never-smoking girl with no medical history. Chest computed tomography revealed a 9 × 7 mm ground-glass nodule in the left lung. Case 2 involved an 18-year-old man with no smoking history but bilateral pneumothorax. Chest computed tomography showed a 13 × 11 mm ground-glass nodule in the right lung. In both cases, thoracoscopic wedge resection was performed, and the tumours were pathologically diagnosed as adenocarcinoma in situ. There was no evidence of recurrence for 2 years in Case 1, and for 1.5 years in Case 2.

摘要

我们遇到了两例青少年肺癌病例。病例1是一名17岁从不吸烟且无病史的女孩。胸部计算机断层扫描显示左肺有一个9×7毫米的磨玻璃结节。病例2是一名18岁无吸烟史但有双侧气胸的男性。胸部计算机断层扫描显示右肺有一个13×11毫米的磨玻璃结节。两例均行胸腔镜楔形切除术，肿瘤经病理诊断为原位腺癌。病例1随访2年无复发迹象，病例2随访1.5年无复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58b/12328035/67c73a22c1f4/RCR2-13-e70281-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58b/12328035/60a871419138/RCR2-13-e70281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58b/12328035/67c73a22c1f4/RCR2-13-e70281-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58b/12328035/60a871419138/RCR2-13-e70281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c58b/12328035/67c73a22c1f4/RCR2-13-e70281-g003.jpg

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本文引用的文献

1
Lung cancer in young individuals; risk factors and epidemiology.年轻个体中的肺癌；危险因素与流行病学
J Thorac Dis. 2025 Mar 31;17(3):1746-1754. doi: 10.21037/jtd-2024-1950. Epub 2025 Mar 21.
2
Correlation between imaging features of pure ground-glass opacities and pathological subtypes of lung minimally invasive adenocarcinoma and precursor lesions.纯磨玻璃密度影的影像学特征与肺微小浸润性腺癌及前驱病变病理亚型的相关性
Sci Rep. 2025 Mar 4;15(1):7572. doi: 10.1038/s41598-025-91902-3.
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Lung Cancer in Young Adults: A Single-Center Experience.
青年人肺癌：单中心经验。
South Med J. 2022 Jun;115(6):366-370. doi: 10.14423/SMJ.0000000000001404.
4
Long-Term Prognosis of Patients With Resected Adenocarcinoma In Situ and Minimally Invasive Adenocarcinoma of the Lung.肺原位腺癌和微浸润腺癌切除患者的长期预后
J Thorac Oncol. 2021 Aug;16(8):1312-1320. doi: 10.1016/j.jtho.2021.04.007. Epub 2021 Apr 27.
5
Genomic profiling in non-small-cell lung cancer in young patients. A systematic review.年轻非小细胞肺癌患者的基因组分析。系统评价。
ESMO Open. 2021 Feb;6(1):100045. doi: 10.1016/j.esmoop.2020.100045. Epub 2021 Jan 27.
6
A single-arm study of sublobar resection for ground-glass opacity dominant peripheral lung cancer.亚肺叶切除术治疗以磨玻璃密度影为主要表现的周围型肺癌的单臂研究。
J Thorac Cardiovasc Surg. 2022 Jan;163(1):289-301.e2. doi: 10.1016/j.jtcvs.2020.09.146. Epub 2020 Nov 12.
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Non-Small Cell Lung Cancer in a Very Young Woman: A Case Report and Critical Review of the Literature.一名非常年轻女性的非小细胞肺癌：病例报告及文献综述
Am J Case Rep. 2015 Nov 3;16:782-9. doi: 10.12659/ajcr.894426.
8
Hereditary lung cancer syndrome targets never smokers with germline EGFR gene T790M mutations.遗传性肺癌综合征的目标人群是携带种系表皮生长因子受体（EGFR）基因T790M突变的非吸烟者。
J Thorac Oncol. 2014 Apr;9(4):456-63. doi: 10.1097/JTO.0000000000000130.