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[肺外恶性肿瘤的支气管内转移]

[Endobronchial metastases in extrapulmonary malignant tumors].

作者信息

Sikimić S, Mrda V, Tomić I, Popović D, Aćimović S, Stojiljković B, Ratković N

机构信息

Vojnomedicinska akademija, Klinika za plućne bolesti, Beograd.

出版信息

Vojnosanit Pregl. 1997 Mar-Apr;54(2):109-12.

PMID:9265373
Abstract

Endobronchial metastases of extrapulmonary malignant tumors are very rare and they appear in 1-2% of all the pulmonary metastases cases. By their endoscopic presentation, they are similar to primary bronchogenic carcinoma. Eleven patients with endobronchial metastases were presented, 8 male and 3 female. The average age was 58.27 years (from 37 to 72 years). Primary renal carcinoma existed in 2 patients. The one was operated 5 years before the metastases appeared in bronchus, and the metastases in bronchial wall contributed to the discovery of primary tumor in the other patient. Endobronchial metastases appeared in 3 patients, 2 years after the surgery of malignant colonic or rectal tumor, and in fourth patient it appeared 5 years after the surgery. One female patient sustained mastectomy and the radiation therapy was performed 11 years before the bronchial metastases occurred and the other female patient had the disease revealed a year ago and the polytherapy was performed. In the female patient with non Hodgkin Lymphoma, the change in bronchus was revealed simultaneously as the primary disease. Endobronchial metastases appeared in 2 patients two years after the surgery of malignant melanoma. The disease diagnosis was set by clinical-radiological examination, by endoscopy and by the comparison of histopathologic finding of primary carcinoma and metastases.

摘要

肺外恶性肿瘤的支气管内转移非常罕见,在所有肺转移病例中占1%-2%。从内镜表现来看,它们与原发性支气管癌相似。本文报告了11例支气管内转移患者,其中男性8例,女性3例。平均年龄为58.27岁(37岁至72岁)。2例患者存在原发性肾癌。1例在支气管出现转移前5年接受了手术,另1例患者支气管壁的转移促使发现了原发性肿瘤。3例患者在恶性结肠或直肠肿瘤手术后2年出现支气管内转移,第4例在手术后5年出现。1例女性患者在支气管转移发生前11年接受了乳房切除术并进行了放射治疗,另1例女性患者1年前确诊疾病并接受了综合治疗。在患有非霍奇金淋巴瘤的女性患者中,支气管病变与原发性疾病同时被发现。2例患者在恶性黑色素瘤手术后2年出现支气管内转移。通过临床放射学检查、内镜检查以及原发性癌和转移灶组织病理学检查结果的比较来做出疾病诊断。

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