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頁籤選單縮合
題名 | Metastatic Small Intestinal Perforation from Carcinoma of the Lung: Report of a Case=小腸轉移性肺癌合併穿孔:病例報告 |
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作者 | 許博仁; 吳志鏗; 林志亮; 顏郁晉; Hsu, Boe-jen; Wu, Chi-keng; Lin, Ju-lian; Yen, Yu-chin; |
期刊 | 中華民國急救加護醫學會雜誌 |
出版日期 | 20080600 |
卷期 | 19:2 2008.06[民97.06] |
頁次 | 頁71-78 |
分類號 | 416.224 |
語文 | eng |
關鍵詞 | 腸轉移; 腸穿孔; 分化不良大細胞型肺癌; Intestinal metastasis; Intestinal perforation; Undifferentiated large cell lung carcinoma; |
中文摘要 | 肺癌是現今人類男女癌症關聯性死亡最常見的病因;然而,肺癌轉移到胃腸道引起臨床上症狀的並不多見,因而導致胃腸道穿孔的情況更屬罕見。據文獻報告,此種病例至今少於40例。吾人提出一例七十歲男性有數十年抽煙病史,因急性腹痛就診;三個月前此病人剛被診斷為左上肺大細胞癌,已無法作根治性切除。此次在腹膜炎診斷下接受開腹手術,發現迴腸有腫瘤穿孔,另外小腸尚有多個散在性腫瘤引起腸壁阻塞,二段有腫瘤的小腸段予以切除並行端對端吻合,此病人術後二星期死於呼吸衰竭;病理切片顯示是轉移性肺大細胞癌引起小腸穿孔及阻塞。 |
英文摘要 | Lung cancer is the most common cause of cancer-related death for both men and women.However, symptomatic gastrointestinal metastasis from the primary lung cancer is relatively unusual.Gastrointestinal perforation originating from metastatic lung cancer is even more uncommon. To our knowledge, approximately 100 cases of this entity have been reported in the literature. Herein, we present a 70-year-old male with long-term smoking history with symptoms and signs of acute abdominal pain.Tracing his medical history, he had unresectable undifferentiated large cell lung carcinoma in his upper left lobe that was proved 3 months prior to this admission. Peritonitis due to perforated hollow viscous was diagnosed and laparotomy revealed a perforated tumor at the ileum together with many other varied sized tumors disseminated in the small bowel which even caused luminal stenosis. Two segmental resections in the ileum with end-to-end anastomosis were performed separately. Pathological test results disclosed metastatic undifferentiated large cell carcinomas of lung cancer origin. The patient survived only 2 weeks after the operation of the cancer. |
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