Shirakusa T
Nihon Geka Gakkai Zasshi. 1983 Oct;84(10):1042-50.
Giant cell carcinoma of the lung is not so commonly found compared to other types of lung carcinoma. Six cases of giant cell carcinoma were experienced in our hospital for these 15 years. Five cases were resected, in 3 of these combined partial resection of surrounding thoracic organs (chest wall, pericardium and other pulmonary lobe) was performed. The mean age of these patients was 56. Most of these tumors were located at the peripheral zone including of intermediate zone in the lung and foci of adenocarcinoma or epidermoid carcinoma were found in 3 cases. We thought the tissue origin of pulmonary giant cell carcinoma might be in the area of bronchial or bronchiloar epithelium. All cases died within a year. Because of its very poor prognosis we would like to emphasize giant cell carcinoma should be distinguished clinically from the usual type of large cell anaplastic carcinoma or poorly differentiated adenocarcinoma.
与其他类型的肺癌相比,肺巨细胞癌并不常见。在过去15年中,我院共收治6例肺巨细胞癌患者。其中5例行手术切除,3例同时行周围胸壁器官(胸壁、心包和其他肺叶)部分切除术。这些患者的平均年龄为56岁。大多数肿瘤位于肺的外周区域,包括中间带,3例患者发现腺癌或表皮样癌灶。我们认为肺巨细胞癌的组织起源可能在支气管或细支气管上皮区域。所有病例均在1年内死亡。由于其预后极差,我们强调肺巨细胞癌在临床上应与常见类型的大细胞间变性癌或低分化腺癌相鉴别。