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[博来霉素治疗后肺部浸润与转移灶鉴别的诊断难题]

[Differential diagnostic problem of distinguishing pulmonary infiltrates following bleomycin therapy from metastases].

作者信息

Mayr B, Bauer W M, Clemm C, Hartenstein R

出版信息

Rofo. 1984 Oct;141(4):409-14. doi: 10.1055/s-2008-1053159.

DOI:10.1055/s-2008-1053159
PMID:6208581
Abstract

Sixty patients with malignant testicular tumours were treated with bleomycin according to the Einhorn regime. Following treatment, pulmonary infiltrates were seen on the chest x-ray of three patients and the CT of six patients. Altogether 24 infiltrates resembling metastases were seen in five patients. Five round foci were combined with infiltrates in other parts of the lung. Regression of the infiltrates after stopping bleomycin, negative tumour markers, the timing of the development of the infiltrates and the regression of the infiltrates in three patients without treatment make it extremely unlikely that the appearances were due to metastases.

摘要

60例恶性睾丸肿瘤患者按照艾因霍恩方案接受博来霉素治疗。治疗后,3例患者的胸部X光片和6例患者的CT显示肺部有浸润影。5例患者共出现24个类似转移灶的浸润影。5个圆形病灶与肺部其他部位的浸润影合并存在。停用博来霉素后浸润影消退、肿瘤标志物阴性、浸润影出现的时间以及3例未经治疗患者的浸润影消退情况,使得这些表现极不可能是由转移所致。

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[Differential diagnostic problem of distinguishing pulmonary infiltrates following bleomycin therapy from metastases].[博来霉素治疗后肺部浸润与转移灶鉴别的诊断难题]
Rofo. 1984 Oct;141(4):409-14. doi: 10.1055/s-2008-1053159.
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