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胸壁外:一例肺肿瘤外侵病例及文献综述

Beyond the Chest Wall: A Case of Fungating Lung Tumor and Review of Literature.

作者信息

Kabbara Jad, Mobayed Tala, Moussally Moutafa

机构信息

Anesthesiology, Lake Erie College of Osteopathic Medicine, Westlake, USA.

Internal Medicine, American University of Beirut Medical Center, Beirut, LBN.

出版信息

Cureus. 2025 Jul 11;17(7):e87741. doi: 10.7759/cureus.87741. eCollection 2025 Jul.

DOI:10.7759/cureus.87741
PMID:40786303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12335879/
Abstract

Lung cancer is the leading cause of mortality among cancers. Fungating tumors are rare manifestations of advanced lung cancer in which the tumor invades the chest wall and breaks through the skin. These tumors can have devastating physiological and psychological effects on patients. They confer poor prognosis to the affected patients. Furthermore, symptoms such as bleeding or foul smelling exudative discharge are associated with fungating tumors. When deemed suitable, surgical resection with chest wall reconstruction is the treatment of choice. We hereby present the case of a lung tumor invading the chest wall with extension to the skin. We also perform a review of literature on fungating tumors.

摘要

肺癌是癌症死亡的主要原因。溃疡性肿瘤是晚期肺癌的罕见表现,肿瘤侵犯胸壁并穿透皮肤。这些肿瘤会对患者产生毁灭性的生理和心理影响。它们使受影响的患者预后不良。此外,出血或有恶臭的渗出性分泌物等症状与溃疡性肿瘤有关。在认为合适时,行胸壁重建的手术切除是首选治疗方法。我们在此介绍一例肺肿瘤侵犯胸壁并累及皮肤的病例。我们还对溃疡性肿瘤的文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9954/12335879/85d0c4d2b5dd/cureus-0017-00000087741-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9954/12335879/2f841c60c852/cureus-0017-00000087741-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9954/12335879/85d0c4d2b5dd/cureus-0017-00000087741-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9954/12335879/2f841c60c852/cureus-0017-00000087741-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9954/12335879/85d0c4d2b5dd/cureus-0017-00000087741-i02.jpg

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本文引用的文献

1
Role of chest radiographs in early lung cancer detection.胸部X光片在早期肺癌检测中的作用。
Transl Lung Cancer Res. 2020 Jun;9(3):522-531. doi: 10.21037/tlcr.2020.04.02.
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An Unusual Case of Fungating Chest Wall Mass.一例罕见的胸壁溃疡性肿块病例。
Indian J Hematol Blood Transfus. 2020 Jan;36(1):211-212. doi: 10.1007/s12288-019-01183-w. Epub 2019 Sep 11.
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Systemic antibiotics for treating malignant wounds.用于治疗恶性伤口的全身性抗生素。
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Dramatic Regression of a Fungating Breast Lesion Treated with Radiation Therapy.放射治疗使乳腺溃疡性病变显著消退
Cureus. 2017 Jun 16;9(6):e1360. doi: 10.7759/cureus.1360.
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Primary lung tumors invading the chest wall.侵犯胸壁的原发性肺肿瘤。
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Trends in Subpopulations at High Risk for Lung Cancer.肺癌高危亚人群的趋势。
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Fungating Wounds - Multidimensional Challenge in Palliative Care.溃疡性伤口——姑息治疗中的多维挑战
Breast Care (Basel). 2011;6(1):21-24. doi: 10.1159/000324923. Epub 2011 Feb 22.
10
Prognostic significance of the "surprise" question in cancer patients.癌症患者中“意外”问题的预后意义。
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