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頁籤選單縮合
題名 | Solitary Colonic Metastasis from Primary Lung Carcinoma: A Case Report and Literature Review=原發性肺癌合併單一大腸轉移:病例報告及文獻回顧 |
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作者 | 唐健恩; 吳昆霖; 藍叡; 李克釗; 藍叡; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 31:1 2020.03[民109.03] |
頁次 | 頁55-59 |
分類號 | 416.224 |
關鍵詞 | 原發性肺癌; 大腸轉移; 消化道轉移; 免疫染色法; Primary lung carcinoma; Colonic metastasis; Gastrointestinal tract metastasis; Immunochemistry stain; |
語文 | 英文(English) |
中文摘要 | 肺癌為目前世界上癌症相關死亡的主因,約有百分之五十的病人在初診斷時已合併有遠端轉移。但轉移至腸胃道則相對而言比較少見。我們在此分享一位七十歲男性,因體重減輕及胸部X光片顯示肺臟腫瘤求診,進一步胸部電腦斷層則發現合併有結腸肝曲處腫瘤。經手術切除大腸及肺臟腫瘤後,病理報告顯示為原發性腺鱗狀細胞肺癌合併大腸轉移。原發性肺癌合併大腸轉移在臨床上十分罕見,但考量到後續治療與大腸癌治療不同,在臨床上應更加注意。 |
英文摘要 | Lung cancer is the leading cause of cancer-related death worldwide. More than 50% of lung cancer cases are diagnosed with distant metastasis. However, metastatic lung cancers with only gastrointestinal tract involvement are very rare. We report a 70-year-old male patient who presented with weight loss and an incidentally detected huge lung mass on chest radiography. Chest computed tomography revealed a huge mass in the hepatic flexure colon. The patient underwent resection for both the colon and lung masses subsequently. The pathologic report indicated an adenosquamous cell carcinoma that was suspected to be colonic metastasis from the primary lung cancer. Although colonic metastasis from lung carcinoma is extremely rare, oncologists should consider the possible need different additional systemic treatments for colorectal carcinoma. |
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