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題 名 | Multiple Intrapulmonary Metastases of Atypical Bronchial Carcinoid Tumor--A Case Report and Literature Review=非典型肺類癌合併多發性肺內轉移--病例報告與文獻回顧 |
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作 者 | 蔡忠榮; 許超群; 洪仁宇; 許德宏; 蔡坤寶; 黃明賢; | 書刊名 | 胸腔醫學 |
卷 期 | 17:2 2002.06[民91.06] |
頁 次 | 頁159-164 |
分類號 | 415.46 |
關鍵詞 | 典型肺類癌; 非典型肺類癌; 多發性肺部轉移; Typical; Atypical bronchial carcinoid tumor; Multiple intrapulmonary metastases; |
語 文 | 英文(English) |
中文摘要 | 肺類癌是一種低度惡性之腫瘤,起源於神經性內分泌細胞,可分成典型與非典型兩型。因兩型之預後有相當之差別,所以如何去分類是相當的重要,其分類依據為細胞分裂數及壞死之有無。肺類癌常以單一病變表現,氣管內腫瘤比週邊常見,非典型肺類癌比典型肺類癌易有轉移現象。多發性肺部轉移則不常見,腦、心臟、骨頭、腎臟、淋巴等也偶有例子報告。我們報告一名46歲女性因咳血及全身衰弱求診,X光發現兩側肺野有數個大小不一的結節。經胸腔鏡切片診斷為肺類癌或轉移性甲狀腺髓質瘤,因甲狀腺檢查並無明顯病變,所以診斷為非典型肺類癌。 |
英文摘要 | The bronchial carcinoid tumor is a low-grade malignant neoplasm which is believed to be derived from neuroendocrine cells, and is subdivided into typical and atypical categories. Owing to the significant difference in prognosis, it is important to differentiate typical from atypical. Atypical bronchial carcinoid tumors have a carcinoid morphology with 2-10 mitoses/2mm2 (10HPF) or necrosis (often punctuate). They usually appear as solitary lesions and are more often endobronchial than peripheral. Atypical carcinoid tumors are more prone to metastasis than typical carcinoid tumors. Multiple intrapulmonary metastases are rarely reported, although other sites of metastasis, such as the brain, heart, skeleton, kidney, lymph nodes, etc, have been reported. In this reported. In this report, we present a 46-year-old female with hemoptysis and progressive malaise. Multiple nodules of varying size on both lungs were found on the chest radiograph. The thoracoscopic biopsy revealed a neuroendocrine neoplasm with amyloid deposition, so a carcinoid tumor of the lung or metastatic thyroid medullary carcinoma was also taken into the differential diagnosis. However, there was a negative thyroid study. We concluded that this was a rare case of atypical carcinoid tumor of the lung with bilateral intrapulmonary metastases. |
本系統中英文摘要資訊取自各篇刊載內容。