查詢結果分析
來源資料
相關文獻
- Gastric Metastasis as the First Sign of Tumor Recurrence after Lung Cancer Resection-Case Report
- Lung Cancer in Pregnancy: Report of Two Cases
- Ifosfamide-Based Chemotherapy for Previously Treated Lung Cancer Patients
- 化學防癌與肺癌
- 非小細胞肺癌術前輔助性化學治療的經驗
- Outcome of Patients with Lung Cancer Treated with Mechanical Ventilation for Respiratory Failure
- 不吸菸婦女肺癌研究
- Docetaxel (Taxotere)--治療乳癌與肺癌的新藥
- The Evolution of the Diagnosis and Understanding of Lung Cancer Pathology: Living Through an Epoch
- Delayed Diagnosis of Lung Cancer in Taichung Veterans General Hospital
頁籤選單縮合
題 名 | Gastric Metastasis as the First Sign of Tumor Recurrence after Lung Cancer Resection-Case Report=胃轉移成為肺癌術後復發的首癥:病例報告 |
---|---|
作 者 | 蔡為民; 謝俊民; 柯獻欽; | 書刊名 | 胸腔醫學 |
卷 期 | 27:4 2012.08[民101.08] |
頁 次 | 頁217-222 |
分類號 | 415.468 |
關鍵詞 | 胃腸轉移; 肺癌; Gastrointestinal metastasis; Lung cancer; |
語 文 | 英文(English) |
中文摘要 | 雖然肺癌常常發生遠處轉移,臨床上卻少見轉移到胃腸道。新近報告顯示:肺癌併胃腸轉移並非罕見,而是此類病人常常沒有症狀。即使發生症狀,也常是腹痛、出血、消化不良…等非特異症狀,故常延遲診斷。但胃腸轉移也可能發生致命的併發症,如:大量出血、腸道阻塞、胃腸破裂,此時就需外科緊急介入治療。在診斷方面,電腦斷層可能有些幫助,但確切的診斷有賴於內視鏡切片生檢或外科手術探查。一旦發生胃腸轉移表示進入肺癌晚期,預後極差。吾等報告一位鱗狀細胞肺癌病患,在接受肺葉切除與輔助性放射線治療三年多後,因腹痛與胃腸出血接受胃鏡檢查,卻發現肺癌併胃轉移,爾後雖歷經化學治療,仍發生對側肺轉移,最後死於肺膿瘍併發敗血症。胃腸轉移雖不常見於肺癌病人,但若出現與治療無關的胃腸症狀,仍須將此病症列入鑑別診斷。 |
英文摘要 | Although distant dissemination is commonly encountered in patients with lung cancer, gastrointestinal metastasis is rarely diagnosed in clinical practice. Recent reports suggest that gastrointestinal metastasis of lung cancer may be more frequent than previously thought, because it is rarely symptomatic. When present, the symptoms related to gastrointestinal metastasis are not specific and the diagnosis is often delayed. However, gastrointestinal metastasis can cause life-threatening complications such as massive hemorrhage, intestinal obstruction or perforation of the hollow organ, which necessitate surgical intervention. Computed tomography (CT) may be helpful for the diagnosis of gastrointestinal metastasis, but the definite diagnosis is dependent on endoscopic or surgical biopsy. The existence of gastrointestinal metastasis is an important marker of advanced disease, which indicates a poor prognosis. We present a case of gastric metastasis of lung cancer, which presented as the first sign of tumor recurrence after a lobectomy that was performed more than 3 years before. Clinicians should take gastrointestinal metastasis into consideration when there are unexplained gastrointestinal symptoms, such as those not associated with chemotherapy or radiotherapy, in patients with lung cancer. |
本系統中英文摘要資訊取自各篇刊載內容。