查詢結果分析
來源資料
相關文獻
- Dermatomyositis in Patient with Squamous Cell Carcinoma of Lung and Hepatocellular Carcinoma: A Case Report and Literature Review
- 皮肌炎合併肝細胞癌: 一病例報告及文獻探討
- Metastatic Hepatocellular Carcinoma Presenting as Hemocholecyst with Perforation: A Case Report
- Isokinetic Strength and Electromyographic Analysis of Knee Muscles in Parkinsonian Patients and Normal Subjects
- Squamous Cell Carcinoma of the Bladder: A Ten-Year Retrospective Study
- 增生性疣性白斑--初期研究
- 天然產物抗人類肝細胞癌活性之研究:芸香科生物鹼之篩選
- 運動生物力學實務: 腓腸肌群收縮活動電位肌電圖分析
- Fibrolamellar Hepatocellular Carcinoma: Report of Two Cases
- 肺鱗狀上皮細胞癌皮膚轉移:病例報告及文獻回顧
頁籤選單縮合
題 名 | Dermatomyositis in Patient with Squamous Cell Carcinoma of Lung and Hepatocellular Carcinoma: A Case Report and Literature Review=皮肌炎病患合併肺鱗狀上皮細胞癌及肝細胞癌:一病例報告及文獻回顧 |
---|---|
作 者 | 陳政宏; 賴振宏; 曹唐義; 趙載光; 郭三元; 張德明; | 書刊名 | 醫學研究 |
卷 期 | 20:2 1999.10[民88.10] |
頁 次 | 頁95-102 |
分類號 | 415.762 |
關鍵詞 | 皮肌炎; 肌電圖; 鱗狀上皮細胞癌; 肝細胞癌; Dermatomyositis; DM; Electromyogram; Squamous cell carcinoma; SCC; Hepatocellular carcinoma; HCC; |
語 文 | 英文(English) |
中文摘要 | 皮肌炎是有關皮膚和肌肉發炎反應的一種疾病,其病因目前尚不明確,有許多因素被認為與這疾病的臨床表徵有關,而腫瘤便是其一;約略估計有百分之十五到百分之三十四的成人皮肌炎患者,可能合併有潛在的腫瘤。在此我們所提出的病例是一診斷為皮肌炎合併有肺鱗狀上皮細胞癌及肝細胞癌之患者;病患因皮膚疹及肌無力入院求診,除肌肉酵素上升外,經肌電圖及肌肉切片證實為皮肌炎;同時胸部放射影像學檢查發現左下肺野有一結節,經左下肺葉切除,病理切片診斷為鱗狀上皮細胞癌;有關皮肌炎的臨床相關症狀也在術後逐漸消失。約一年半後病患因皮膚疹複發入院檢查,臨床上無肺癌複發症狀; 但腹部超音波發現右肝葉有一腫塊。經肝葉切除及病理切片證實為一肝細胞癌;相同地。病患皮膚疹及肌無力等臨床症狀也在術後消失。雖然有關皮肌炎合併各式不同腫瘤的病例報告很多,但有興趣的是一皮肌炎患者同時合併兩種不同組織病理切片型式的腫瘤,臨床上則相當罕見;有關皮肌炎及腫瘤之間的關係,到目前仍僅只於假說的階段; 在此我們除提出病例報告外,也對皮肌炎與腫瘤之間的關係作一文獻回顧。 |
英文摘要 | Dermatomyositis is a disease that primarily involves skin and muscle. The etiology of dermatomyositis is still not clear. Many contributing factors are suggested to be associated with this disease manifestation. One of them is malignancy. An estimation of 15~34% if adult dermatomyositis patients are shown to coexist with malignancies. Here, we describe a case of dermatomyositis who developed squamous cell carcinoma of lung at first evaluation and hepatocellular carcinoma one and half a year later. Patient was admitted due to general skin rash and weakness of shoulder girdles. The DM was proved by electromyogram(EMG), elevated muscle enzyme and muscle biopsy. The chent film disclosed a nodular lesion over left lower lung field. Pulmonary wedge resection was performed and squamous cell carcinoma of lung was diagnosed. Skin rash subsided and functional muscle strength improved after tumor removal. The symptoms of dermatomyositis recurred one and half a year later. A mass lesion in right hepatic lobe was noted sonographically and was proved to be hepatocellular carcinoma by pathology after segmentectomy of liver. It is very interesting and unusual that patient with dermatomyositis develops two different types of malignancies. So far as we know, the possible link between dermatomyositis and underlying malignancies remain largely hypothetical. In this paper we also review the related literatures about dermatomyositis and the underlying malignancy. |
本系統中英文摘要資訊取自各篇刊載內容。