肺癌骨骼肌转移2例并文献复习  

Skeletal Muscle Metastasis from Lung Cancer:two case reports and review of the literature

作　　者：李洪霞[1] 刘长庭[1] 孙宝君[1] 王玉 康春燕[1] 

机构地区：[1]解放军总医院南楼呼吸科一病区,北京100853 [2]解放军总参保障局医务室,北京100005

出　　处：《临床肺科杂志》2011年第10期1557-1558,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨肺癌骨骼肌转移的临床、影像学特点、治疗方法和预后。方法收治的2例肺癌骨骼肌转移患者及国内外相关文献进行回顾性分析。结果疼痛是骨骼肌转移最常见的症状。多数转移灶可以触及。骨骼肌转移病灶增强CT检查提示边缘强化中央密度减低的肿块影。CT或超声引导下穿刺活检有助于明确诊断。在原发肿瘤控制的情况下,单发骨骼肌转移患者接受骨骼肌手术或根治放疗生存期更长。结论肺癌骨骼肌转移预示疾病进展,如果肺原发病灶可治愈,对于骨骼肌单发转移,应积极争取外科手术治疗或根治放疗。Objective To investigate the clinical,radiological characteristics of skeletal muscle metastasis from lung cancer,to discuss its treatment and prognosis.Method Retrospectively analyzed two cases of skeletal muscle metastasis from lung cancer diagnosed in PLA General Hospital,and reviewed the literature published in the last thirty years.Results Pain was the most frequent symptom.A mass was palpable in most of cases.The most common appearance of the lesions on contrast-enhanced helical CT is that of a rim-enhancing mass with central hypoattenuation.The diagnosis can be obtained by fine needle biopsy with the help of CT or ultrasound.The patient with single metastasis treated with surgery or radiation therapy had a longer survival when the lung cancer being controlled.Conclusion The presence of skeletal muscle metastasis suggests an aggressive disease.The patient with solitary skeletal muscle metastasis should be treated by surgery or radiation therapy if the primary tumor can be cured.

关 键 词：肺癌 骨骼肌转移 

分 类 号：R734.2[医药卫生—肿瘤]