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頁籤選單縮合
題名 | Bronchial Carcinoid Tumor-Report of Nine Cases=支氣管類癌腫瘤 |
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作者 | 丁燿明; | 書刊名 | 胸腔醫學 |
卷期 | 14:1 1999.03[民88.03] |
頁次 | 頁1-7 |
分類號 | 415.426 |
關鍵詞 | 支氣管類癌腫瘤; 免疫組織化學; 局部腫瘤復發; 神經內分泌細胞; Bronchial carcinoid tumor; Immunohistochemical; Local tumor recurrence; Neuroendocrine cell; |
語文 | 英文(English) |
中文摘要 | 類癌腫瘤是一種神經內分泌細胞腫瘤,支氣管類癌腫瘤大約占肺腫瘤 的百分之一;它具有緩慢、支氣管內生長的特性,局部淋巴腺轉移或遠端轉移是 少見;因為,不同文獻報導的臨床表徵發生率不一致,在本文中我們評估這類病 患的臨床表徵,同時也記錄胸部X光片發現、免疫組織化學特性、及病人的存 歿。我們覆閱病患資料,搜集病理學診斷的支氣管類癌腫瘤病患;他們的基本資 料、病理學報告、腫瘤生長類型、腫瘤位置、手術方式、有否局部腫瘤復發、腫 瘤消除時間、存活時間,都加以記錄下來。本研究共有九個支氣管類癌腫瘤病患, 其中三人是非典型支氣管類癌腫瘤病患;咳嗽(百分之五十六)是常見的臨床表 徵,結節病灶(百分之四十四)是常 見的胸部X光發現;二例非典型支氣管類 癌腫瘤病患發生局部腫瘤復發及死亡,其中一例有遠端轉移;沒有典型支氣管類 癌腫瘤病患發生局部腫瘤復發及死亡,而且後者有較長的存活時間。本研究發現 非典型支氣管類癌腫瘤是局部腫瘤復發的一個決定因素;大多數周邊支氣管類癌 腫瘤病患是沒有症狀,中央支氣管類癌腫瘤病患會有咳嗽或咳血;所有支氣管類 癌腫瘤病患的神經內分泌細胞標記都呈現陽性反應。 |
英文摘要 | Carcinoid tumors are neuroendocrine cell tumors, and bronchial carcinoid tumors represent approximately one per cent of all lung tumosr. They have the characteristics of slow endobronchial growth and regional lymph node metastases or distant metastases is unusual. Because the incidences of variable clinical manifest- ations are inconsistent among different studies, we estimated the clinical features of bronchial carcinoid tumor in our study. At the same time, the radiological and immunohistochemical characteristics and outcome were also recorded. We reviewed the patient's data and the pathologically proved bronchial carcinoid tumor patients were collected. Their general data, pathological features, tumor growth pattern, location of tumor, type of surgical intervention, local tumor recurrence, tumor-free interval and duration of survival were recorded. Nine bronchial carcinoid tumor patients were entered into this study of which, three had atypical bronchial carcinoid tumor. Cough(56%) is the most common clinical feature and nodular lesion(44%) is the most frequent radiological feature. Local tumor recurrence and death occurred in two atypical bronchial carcinoid tumor patients. Distant metastasis was found in one atypical bronchial carcinoid tumor patient. Typical carcinoid tumor patients have a longer survival time and no local tumor recurrence or death. In conclusion, atypical carcinoid tumor is a predisposing factor for local tumor recurrence in this study. Most patients with peripheral carcinoid tumor are asymptomatic, the patients with central carcinoid tumor have cough or hemoptysis. The neuroendocrine cell markers are positive in all bronchial carcinoid tumor patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。