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頁籤選單縮合
題名 | Malignant Pleural Mesothelioma with Extensive Skeletal Muscle Metastasis=惡性間皮癌病患併瀰漫性骨骼肌肉內轉移 |
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作者 | 江佳駿; 謝明書; 張端瑩; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 1:2 2014.09[民103.09] |
頁次 | 頁134-139 |
分類號 | 416.26 |
關鍵詞 | 惡性間質瘤; 骨骼肌轉移; 正子攝影; Malignant pleural mesothelioma; Skeletal muscle metastases; Positron emission tomography; |
語文 | 英文(English) |
中文摘要 | 我們報告一位 61 歲之惡性間皮癌病人併發瀰漫性的骨骼肌肉內轉移,病人初始症狀 為肌肉僵硬及無力。磁振造影及電腦斷層顯示為數眾多大小不一腫瘤分布於全身的骨骼 肌肉內,病理切片輔助螢光免疫染色法證實為轉移性惡性間皮癌。病人病況迅速惡化, 很快就變得不能移動而臥床,失去自我照顧能力且併發肺炎,最後死於呼吸衰竭。儘管 接受了化學治療,距離症狀開始,病人仍只存活了三個月。我們探討此案例骨骼肌肉內 轉移的臨床表現及意義,並回顧了過往間皮癌病人骨骼肌肉內轉移的病例報告。 |
英文摘要 | We treated a 61-year-old man with malignant pleural mesothelioma complicated by extensive skeletal muscle metastases. The initial presentation included rapidly progressive weakness and stiffness in four extremities. The magnetic resonance image (MRI) and the computed tomography (CT) scan revealed disseminated symmetrical intramuscular nodular lesions. Excisional biopsy was taken and pathology confirmed the presence of a biphasic metastatic mesothelioma by immunohistochemical (IHC) staining. The patient survived for only 3 months from the onset of the symptoms despite of the administration of emergency chemotherapy and optimal supportive care. |
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