頁籤選單縮合
題名 | Recurrent Syncope as Initial Presenting Symptom of Non-Small Cell Lung Cancer--A Case Report=以反覆性暈厥為起始表現之非小細胞肺癌--病例報告 |
---|---|
作者 | 王佐輔; 朱崧肇; 吳孟修; 羅彥宇; 李啟誠; Wang, Tso-fu; Chu, Sung-chao; Wu, Meng-hsiu; Lo, Raymond Yen-yu; Li, Chi-cheng; |
期刊 | 慈濟醫學 |
出版日期 | 20061000 |
卷期 | 18:5 民95.10 |
頁次 | 頁378-381+407 |
語文 | eng |
關鍵詞 | |
中文摘要 | 暈厥是臨床醫師在日常診療時一個常見的狀況,其引發的原因非常廣泛可以從普通的良性疾病到危及性命的嚴重疾病。即使罕見,癌症亦可引發暈厥,大部分這樣的病患是已知有頭頸部癌症之患者。本文報告一位以反覆性暈厥為起始表現之病患,經檢查發現患者為非小細胞肺癌併頸部及縱隔腔淋巴結轉移,臨床診斷為腫瘤直接侵犯左側迷走神經所造成的暈厥,經化學治療後腫瘤縮小且病患自此便無暈厥之表現。本文認為年老之反覆暈厥之病患,需考量到惡性疾病的可能。可轉移到頸部淋巴結之惡性腫瘤,皆可能是原因之一,需詳細探查真實之病因。 |
英文摘要 | Syncope is a common problem that many clinicians encounter in daily practice. The causes range form common benign disorders to severe lift-threatening diseases. Although rare, syncope may result from malignancy. Most patients with this symptom have documented head and neck cancer. We report on a 70 year-old man with recurrent syncope that preceded the diagnosis of squamous cell carcinoma of the lung with neck and mediastinal lymph node metastasis. Syncope resulted from direct involvement of the left vagus nerve was clinically impressed. After treating with chemotherapy, the tumor shrunk and he did not suffer from syncope thereafter. These findings suggest that malignancy should be considered in the differential diagnosis when an elderly patient with recurrent syncope is examined. All the possibilities the caused neck metastases should be considered. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。