Kawahara K, Akamine S, Takahashi T, Nakamura A, Kusano H, Nakagoe T, Nakazaki T, Ayabe H, Tomita M
First Department of Surgery, Nagasaki University School of Medicine, Japan.
Surg Today. 1994;24(12):1101-3. doi: 10.1007/BF01367465.
We report herein the case of a 75-year-old man who developed anal canal metastasis from squamous cell carcinoma of the lung. Initially, he underwent a right middle and lower lobectomy combined with left atrial wall resection under cardiopulmonary bypass. He presented 3 months later with an anal polyp which had prolapsed and bled, for which he underwent a transanal polypectomy. Histologically, the polyp was classified as squamous cell carcinoma and considered to be a metastasis from the primary lung cancer. He is presently well with no signs of recurrence 9 months after his initial operation. To our knowledge, there has been no other case of anal metastasis from lung cancer ever reported.
我们在此报告一例75岁男性患者，其发生了肺鳞状细胞癌的肛管转移。最初，他在体外循环下行右中下肺叶切除术并联合左心房壁切除术。3个月后，他出现了脱垂并出血的肛管息肉，为此接受了经肛门息肉切除术。组织学检查显示，该息肉被分类为鳞状细胞癌，考虑为原发性肺癌转移所致。自初次手术9个月以来，他目前情况良好，无复发迹象。据我们所知，此前尚无肺癌肛管转移的其他病例报道。
