以指骨转移为首发症状肺癌23例临床分析  

The Clinical Analysis of 23 Cases with Primary Bronchogenic Carcinoma of Fingers Metastases as its First Symptom

作　　者：韩俊庆[1] 王兴文[1] 王瑜[1] 盛巍[1] 曲凤声[1] 

机构地区：[1]山东大学附属省立医院肿瘤中心,250021

出　　处：《实用癌症杂志》2011年第3期279-282,共4页The Practical Journal of Cancer

摘　　要：目的探讨原发性肺癌单纯以指骨转移为首发症状的临床特点及其发病机理。方法综合分析各专业文献报道的、单纯以指骨转移为首发症状的原发性肺癌患者的资料。结果文献报道的单纯以指骨转移为首发症状的23例原发性肺癌患者中,转移病灶位于左手指骨者10例,右手指骨者12例,双手指骨者1例。3例患者转移病灶位于近节指骨,其余患者转移病灶位于末节指骨;有7例患者的患病手指既往曾有外伤史。结论传统的机械-解剖学说和种子—土壤学说的观点,均不能解释原发性肺癌发生指骨转移的机理。临床中如遇久治不愈的手指软组织炎症时,应考虑是否肺部肿瘤细胞转移的可能性。Objective To invest the clinical characteristics and the mechanism of lung cancer with metastases of phalanges as first symptom.Methods Literature on primary lung cancer with metastases of phalanges as its first symptom was reviewed.Results 23 patients with primary lung cancer have metastases of phalanges as its first symptom.10 patients＇ metastatic lesions located in their phalanges of left hands,12 right hands and 1 both hands.3 patient＇s metastatic lesions were situated in proximal phalanx and the others in phalangette.7 patient＇s ill fingers had trauma history.Conclusion Neither the traditional machine anatomy theory nor seed-soil theory could not explain the mechanism of primary lung cancer metastasize to phalanges,If patients with soft tissue inflammation of fingers that cannot be healed for a long time are encountered,the possibility of tumor metastasis from lung cancer should be considered.

关 键 词：原发性肺癌 首发症状 指骨转移 

分 类 号：R734.2[医药卫生—肿瘤]