南方医科大学学报2017，Vol.37Issue(12)：1695-1698,封3,5.DOI:10.3969/j.issn.1673-4254.2017.12.23
空肠多发肉瘤样癌术后肺、脑转移:1例报告并文献复习
Multiple primary sarcomatoid carcinoma of the jejunum with postoperative lung and brain metastases:a case report and literature review
陈建新 1江冠铭 2李瑞平 1李力波 1王静仪3
作者信息
- 1. 南方医科大学附属东莞市人民医院普外科,广东 东莞523059
- 2. 南方医科大学附属东莞市人民医院肿瘤内科,广东 东莞523059
- 3. 南方医科大学附属东莞市人民医院病理科,广东 东莞523059
- 折叠
摘要
Abstract
Objective We report a rare case of a multiple sarcomatoid carcinoma of the jejunum with postoperative lung and brain metastases. The patient underwent jejunum segmental resection for intussusception and gastrointestinal bleeding. Multiple metastasis ofbrain and lung occurred 4 months after the operation,and the patient died for multiple organ failure 8 months after the surgery.Primary sarcomatoid carcinoma was difficult to diagnose at an early stage,and the diagnosis relies on optical microscopic and immunohistochemical observations. Currently no guidelinesare established for treatment for sarcomatoid carcinoma of the jejunum, and surgical resection remains the optimal therapeutic approach. Previous reports documented a poor prognosis of the patients with a median survival time of 5.5 months (0.36-36months), and the primary causes of death were tumor recurrence and metastasis.Ki-67 as a potential prognostic marker and the value of PD-L1-targeted immunotherapy for the treatment await further investigation.关键词
肉瘤样癌/空肠/肺、脑转移/文献复习Key words
primary sarcomatoid carcinoma/jejunum/lung and brain metastases/literature review引用本文复制引用
陈建新,江冠铭,李瑞平,李力波,王静仪..空肠多发肉瘤样癌术后肺、脑转移:1例报告并文献复习[J].南方医科大学学报,2017,37(12):1695-1698,封3,5.
