肺癌皮肤转移的临床病理特征（附22例分析）  

CLINICOPATHOLOGIC FEATURES OF CUTANEOUS METASTASIS FROM CARCINOMA OF THE LUNG IN 22 CAESS

作　　者：孔今城[1] 赵保华[1] 张宜玲[1] 

机构地区：[1]上海市第一人民医院病理科

出　　处：《上海医学》1996年第2期77-79,共3页Shanghai Medical Journal

摘　　要：本文报道２２例肺癌皮肤转移。１８例原发癌及全部转移瘤均经组织病理证实。其特征表现为：８例（３６％）有多发和多灶性皮肤转移；大多数转移灶在原发肺癌确诊前已发现且其表现特殊，因而常误诊为皮脂囊肿，血管瘤，带状疱疹，皮肤纤维瘤和皮肤感染；转移性病变（１６例）常位于头皮，颈及胸部；病人预后不佳，随访其中１５例仅存活２至１２个月。最后，对皮肤转移瘤的机理作讨论。he clinical and pathologic features of cutaneous metastasis from carcinoma of the lungwere studied in 22 cases,with histopathologieal confirmation of both the primary tumors(18cases)and the secondary lesions in the skin. The features showed that 8 cases(36%)hadmultiple and multifocal metastases to skin;most metastases were recognized before confir-mation of the primary carcinoma of the lung and manifested unusually,thus often mistakenfor steatocystoma,hemangiona,herpes zoster ,dermatofibroma or cutaneous infection;Metastatic lesions(16 cases)are generally located on the scalp,the neck and the chest.Theprognosis of patients is regarded as dismal,15 follow-up cases had survived only 2 to 12months;Finally,mechanism of cutaneous metastasis was discussed.

关 键 词：肺肿瘤 皮肤转移瘤 临床病理学 

分 类 号：R734.206[医药卫生—肿瘤] R739.502[医药卫生—临床医学]