Sugarbaker P H, Auda S, Webber B L, Triche T J, Shapiro E, Cook W J
Cancer. 1981 Aug 1;48(3):852-5. doi: 10.1002/1097-0142(19810801)48:3<852::aid-cncr2820480331>3.0.co;2-j.
The authors describe a patient with epithelioid sarcoma in whom the presenting lesion was cervical lymph node metastasis. This proved to be a difficult diagnostic problem, until the occult primary tumor was discovered in the ipsilateral hand. A cerebral metastasis became evident early in the course of the disease. The authors believe this to be the first case reported in whom the presenting lesion was a nonregional metastasis. The rapid clinical progression of this patient's malignancy is of interest and illustrates the need for early intervention in patients with an epithelioid sarcoma, since the clinical course is not always indolent.
作者描述了一名上皮样肉瘤患者，其首发病变为颈部淋巴结转移。在同侧手部发现隐匿性原发肿瘤之前，这一直是一个诊断难题。在疾病过程早期出现了脑转移。作者认为这是首例报道的以非区域转移为首发病变的病例。该患者恶性肿瘤的快速临床进展值得关注，也说明了上皮样肉瘤患者早期干预的必要性，因为其临床病程并非总是进展缓慢。
