实用肿瘤杂志2017，Vol.32Issue(1)：7-9,10,4.
直肠癌合并原发性肺腺癌患者的MDT诊治报道
MDT diagnosis and treatment of rectal cancer with primary lung adenocarcinoma
汤小虎 1李明 2吴楠 3沈琳4
作者信息
- 1. 北京新里程肿瘤医院外科，北京100161
- 2. 北京大学肿瘤医院胃肠肿瘤外科，北京100142
- 3. 北京大学肿瘤医院胸外科，北京100142
- 4. 北京大学肿瘤医院消化内科，北京100142
- 折叠
摘要
Abstract
The process of multidisciplinary team (MDT)treatment of a rectal cancer patient with primary lung ade-nocarcinoma was described.Left supraclavicular lymph node metastasis was discovered by clinical examination,and the bi-opsy of the lymph node indicated poorly differentiated lung adenocarcinoma.After MDT discussion,the patient received chemotherapy combined with targeted therapy(gefitinib 250 mg,once per day+capecitabine 1 500 mg,twice per day).On the basis of intensive therapy of lung adenocarcinoma,the patient received radical resection of rectal carcinoma,and is regu-larly followed up in the department of thoracic surgery.The diagnosis and treatment process of this case suggested that MDT discussion was crucial to improving the survival of patients with combined rectal cancer and lung adenocarcinoma.The treatment goal should be dynamically adjusted according to the tolerance and treatment response of patients who initially cannot tolerate surgery.MDT should be standardized and specialized to achieve the maximal benefits of patients.关键词
直肠肿瘤/外科学/肺肿瘤/外科学/诊断/药物治疗Key words
rectal neoplasms/surgery/lung neoplasms/surgery/diagnosis/drug therapy分类
医药卫生引用本文复制引用
汤小虎,李明,吴楠,沈琳..直肠癌合并原发性肺腺癌患者的MDT诊治报道[J].实用肿瘤杂志,2017,32(1):7-9,10,4.
