Tiszlavicz L, Tasnádi T
Pathologiai Intézet, Szent-Györgyi Albert Orvostudományi Egyetem.
Orv Hetil. 1993 Jan 31;134(5):241-5.
In the Department of Pathology of the Albert Szent-Györgyi Medical University in Szeged during the last 30 years 1770 (19.4% of the cancers) primary malignant lung tumours were observed in autopsy material, from which 86 patients (4.9%) had other malignancies as well. In 81 cases other extrapulmonary and in 5 cases other primary lung tumours were observed. The male predominance in these cases was significant. All of the patients were heavy smokers. Amongst these synchronous tumour-associations the most frequent extrapulmonary tumours arose in the urogenital tract, in the head and neck, relatively frequently also in the breast, liver, stomach, intestine and thyroid. These cases caused diagnostic dilemmas both for the clinician and even for the pathologist. Several signs help to distinguish a new primary tumour from a metastasis. Multiplicity itself does not mean poorer prognosis. Each cancer should possibly receive adequate treatment.
在塞格德的阿尔伯特· Szent - Györgyi医科大学病理学系，在过去30年的尸检材料中观察到1770例原发性恶性肺肿瘤（占癌症的19.4%），其中86例患者（4.9%）还患有其他恶性肿瘤。在81例中观察到其他肺外肿瘤，5例中观察到其他原发性肺肿瘤。这些病例中男性占主导地位非常明显。所有患者均为重度吸烟者。在这些同步肿瘤关联中，最常见的肺外肿瘤发生在泌尿生殖道、头颈部，相对频繁地也发生在乳腺、肝脏、胃、肠道和甲状腺。这些病例给临床医生甚至病理学家都带来了诊断难题。有几个迹象有助于区分新的原发性肿瘤和转移瘤。肿瘤的多发性本身并不意味着预后更差。每一种癌症都应该尽可能接受充分的治疗。
