多次皮肤和双侧乳腺转移的肺腺癌个体化综合治疗1例  

Individualized comprehensive treatment for lung adenocarcinoma with multiple skin and bilateral breast metastasis: A case report

作　　者：罗碧源 饶乐 马芳[1] 刘先领[1] LUO Biyuan;RAO Le;MAFang;LIU Xianling(Department of Oncology,Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院肿瘤科

出　　处：《中南大学学报（医学版）》2020年第1期102-108,共7页Journal of Central South University ：Medical Science

摘　　要：肺腺癌是一种容易出现远处转移的恶性肿瘤,其常见转移部位为脑、肾上腺、肝、骨等。皮肤软组织转移不常见,乳腺转移更为罕见。此病例为中年女性患者,经历多线治疗先后出现上肢、腹壁皮肤、双侧乳腺组织转移,多处转移灶对放射治疗敏感。回顾此患者整个治疗过程可发现合理运用个体化综合治疗手段,在适当时机选择基因检测对于延长肺腺癌患者生存期和提高其生存质量十分重要。Lung adenocarcinoma is a malignant tumor that is prone to distant metastasis.Common metastatic sites are brain,adrenal gland,liver,bone,and so on.Skin soft tissue metastasis is unusual,and breast metastasis is even rarer.This case is a middle-aged female patient who had experienced multi-line treatments for upper limbs,abdominal skin,and bilateral breast tissue metastases.The patient’s multiple metastases were susceptible to radiation therapy.Reviewing the entire treatment process of this patient can find that the rational use of individualized comprehensive treatment methods and appropriate timing of genetic testing are very important for patients with lung adenocarcinoma to prolong their survival time and improve their quality of life.

关 键 词：肺腺癌 乳腺转移 皮肤转移 上肢转移 放射治疗 

分 类 号：R734.2[医药卫生—肿瘤]