国际病理科学与临床杂志2016，Vol.36Issue(8)：1134-1139,6.DOI:10.3978/j.issn.2095-6959.2016.08.017
肺肠型腺癌6例诊疗分析并文献复习
Diagnosis and treatment analysis of lung enteric adenocarcinoma：6 case report and review of the literature
林莉 1许春伟2
作者信息
- 1. 军事医学科学院附属医院 消化道肿瘤科，北京 100071
- 2. 军事医学科学院附属医院 病理科，北京 100071
- 折叠
摘要
Abstract
Objective: Primary lung enteric adenocarcinoma is a rare type of invasive lung carcinoma. This article mainly discusses the clinicopathological characteristics, diagnosis and treatment of primary lung enteric adenocarcinoma. Methods: Retrospectively analysed clinical records of 6 cases admitted in hospital from Feb 2013 to May 2016, and reviewed the literature of primary lung enteric adenocarcinoma.Results: Two patients were male and four patients were female with the age ranged from 25 to 78 years. hTeir symptoms consisted mainly of cough chest stuffy with 4 patients, neck mass with 1 case, dizziness nausea vomiting with 1 case; imagining scan showed mass of lung and or mediastinal, pathology form and the immunochemistry showed all positive for intestinal immune phenotypes and some positive for lung cancer immunophenotypic. But no tumor was found by gastrointestinal endoscopes; 1 case recurrence and metastasis after radical operation; 1 patient underdone palliative surgery, 1 patient with brain solitary metastasis onset received CyberKnife and without system treatment, and 5 patientsunderwent chemotherapy. At the end of follow-up, 4 patients died, over survival time as long as 32 months. Conclusion:The primary lung enteric adenocarcinoma was easily confused with pulmonary metastases from colorectal cancer, conifrmed diagnosis need to rule out intestinal lesion, the main early treatment is surgery, and systematic treatment programs need to be further studied.关键词
肠型腺癌/结直肠癌/免疫组织化学/诊断Key words
lung enteric adenocarcinoma/colorectal cancer/immunohistochemistry/diagnosis引用本文复制引用
林莉,许春伟..肺肠型腺癌6例诊疗分析并文献复习[J].国际病理科学与临床杂志,2016,36(8):1134-1139,6.
