查詢結果分析
來源資料
相關文獻
- Pulmonary Metastasis of Low-Grade Endometrial Stromal Sarcoma 7 Years after Hysterectomy for Uterine Leiomyoma--A Case Report
- Endometrial Stromal Sarcoma of the Vagina
- Pulmonary Metastasis of Hepatocellular Carcinoma
- Multiple Intrapulmonary Metastases of Atypical Bronchial Carcinoid Tumor--A Case Report and Literature Review
- Pulmonary Metastasis of Adrenocortical Carcinoma Mimics Pulmonary Tuberculosis--A Case Report
- Pulmonary Metastatic Malignant Melanoma with Endobronchial Involvement: A Case Report and Literature Review
- An Adrenocortical Carcinoma Patient with Multiple Lung Metastases--A Case Report
- 腎細胞癌合併侷限性肺部轉移之積極外科手術治療--六位臨床病例報告
- Pulmonary Benign Metastasizing Leiomyoma: A Case Report and Review of the Literature
- Recurrent Giant Cell Tumor of the Thoracic Spine with Bilateral Pulmonary Metastases
頁籤選單縮合
題 名 | Pulmonary Metastasis of Low-Grade Endometrial Stromal Sarcoma 7 Years after Hysterectomy for Uterine Leiomyoma--A Case Report=子宮切除七年後之轉移性肺低度內膜間質肉瘤 |
---|---|
作 者 | 李明安; 蔡俊明; 彭瑞鵬; | 書刊名 | 胸腔醫學 |
卷 期 | 16:1 2001.03[民90.03] |
頁 次 | 頁35-42 |
分類號 | 417.281 |
關鍵詞 | 內膜間質肉瘤; 肺部轉移; Endometrial stromal sarcoma; Pulmonary metastasis; |
語 文 | 英文(English) |
中文摘要 | 低度內膜間質肉瘤是一種相當少見的惡性腫瘤。其臨床表現相對遲緩,可在手術切除數十年後出現轉移或復發。再者,其組織學上的特徵酷似一般子宮內膜間質細胞增生,做容易被誤認為良性組織。肺部轉移偶然可見,此時病人先後接受過子宮切除的病史便十分重要。 在此,我們陳述一個73歲的停經婦女。因咳血近一個月而求診,胸部X光在右中肺葉發現一近3.5公分之腫塊。手術切除後,病理報告為轉移性肺低度內膜間質肉瘤。詳細詢問其病史得知,病人在7年前接受過子宮切除手術,當時的診斷為子宮肌瘤。回顧先前之病理切片,除了子宮肌瘤外,發現有子宮內膜間質細胞增生的疑似原發病灶。經追加腹部電腦斷層,在左邊骨盆腔壁發現一疑似局部復發之腫塊,病人現正門診後續追蹤中。 低度內膜間質肉瘤因其稀少性,除了在發現初期以手術切除子宮及雙側卵巢的處理方法稍有共識外,其他後續處理仍然需要更進一步的研究。 |
英文摘要 | Low-grade endometrial stromal sarcoma is a rare uterine malignancy with generally indolent behavior, and neither preoperative diagnostic procedures nor standard therapy have yet been established. This sarcoma is characterized histologically by a proliferation of cells resembling those of the endometrial stroma. The cytologic blandness of these cells may mislead an inexperienced observer into labeling the lesion as benign. The low-grade endometrial stromal sarcoma is well-known to be capable of recurrence many years after initial resection, occasionally in the lungs. We report a 73-year-old woman with a 3.5-cm well-defined mass in the middle lobe of the right lung. The pathology of the mass form a wedge resection of the middle lobe of the right lung reported a metastatic endometrial stromal sarcoma. The patient had received total abdominal hysterectomy for a 9×8×7 cm uterine leiomyoma 7 years ago. The detailed review of the histologic picutre of the previous slides of the resected uterus showed areas of hyperplasia of endometrial stromal cells, which is presumed to be normal proliferations of stromal cells. Immunohistochemical staining of the lung mass showed a strong positive for estrogen and progesterone receptors, which are frequently noted in the cells of breast or endometrial origin. The abdominal CT revealed a soft tissue mass in the left aspect of the pelvic wall, and local recurrence was highly suspected. All the above are compatible with the clinical picture of a pulmonary metastatic tumor of a low-grade endometrial stromal sarocma 7years after hysterectomy. |
本系統中英文摘要資訊取自各篇刊載內容。