Nakamura H, Tanaka Y, Hori H, Ishiguro S, Hara H, Mori T
Second Department of Surgery, Tottori University Faculty of Medicine, Yonago, Japan.
Kyobu Geka. 1993 Oct;46(11):990-3.
A 70-year-old male case of mucinous cystic adenocarcinoma of the lung with signet-ring cells was reported. Patient was operated with diagnosis suspicious lung cancer by the specimen from TBLB. But, intraoperative rapid pathological-diagnosis was confused us for no cellular component, finally we performed right upper lobectomy and R1 LN dissection. Postoperative histological examination showed that the tumor was entirely filled with mucin and there are a few tumor cells with the signet-ring shape in its marginal area. So, this tumor was diagnosed as mucinous cystic adenocarcinoma of the lung with signet ring cells. This type of the lung adenocarcinoma was rare case, but we need to have much attentions because of the clinical differences from the other type of adenocarcinoma.
报告了1例70岁男性肺黏液性囊腺癌伴印戒细胞。患者因经支气管肺活检标本被诊断为可疑肺癌而接受手术。但是,术中快速病理诊断因无细胞成分而让我们感到困惑,最终我们进行了右上叶切除术和R1淋巴结清扫术。术后组织学检查显示肿瘤完全充满黏液,在其边缘区域有一些印戒样肿瘤细胞。因此,该肿瘤被诊断为肺黏液性囊腺癌伴印戒细胞。这种类型的肺腺癌是罕见病例,但由于其与其他类型腺癌在临床上存在差异,我们需要予以高度关注。