肺肉瘤样癌回肠转移并出血坏死1例  

Ileal metastasis of pulmonary sarcomatoid carcinoma with hemorrhagic necrosis:A case report

作　　者：荣万水[1] 王云帆[2] 于明川[3] 

机构地区：[1]北京大学首钢医院普通外科,北京市100144 [2]北京大学首钢医院病理科,北京市100144 [3]北京大学首钢医院影像中心,北京市100144

出　　处：《世界华人消化杂志》2013年第22期2237-2240,共4页World Chinese Journal of Digestology

基　　金：北京市自然科学基金资助项目;No.7132081;北京市科学技术委员会基金资助项目;No.z131107002213103~~

摘　　要：肺肉瘤样癌(lung sarcomatoid carcinoma,LSC)临床少见,LSC小肠转移临床报道罕见,本例患者为LSC回肠转移伴出血坏死,外科医师要拓宽思路,肺癌可以转移至全身各个组织、器官,肺癌消化系转移并非罕见.LSC临床表现无特异性,发生小肠转移时同样可以引起肠梗阻、肠套叠甚至肠坏死、穿孔.Pulmonary sarcomatoid carcinoma（PSC） is a rare clinical entity,and small intestine metastases of PSC are even rarer.Here we report a case of ileal metastasis of PSC with hemorrhage and necrosis.The surgeon should raise their awareness of this rare tumor.Lung cancer can transfer to various tissues and organs,and digestive tract metastases of lung cancer are not rare.Clinical manifestations of PSC are not specific,and small intestine metastases of PSC can cause intestinal obstruction,intussusceptions,intestinal necrosis and perforation.

关 键 词：肺 肉瘤样癌 回肠转移 诊断 治疗 

分 类 号：R734.2[医药卫生—肿瘤]