原发性肺肠型腺癌1例并文献复习  

Primary enteric adenocarcinoma:A case report and literature review

作　　者：龙颖姣 刘晓鹏 杜海燕 张科[4] 彭红[1] LONG Yingjiao;LIU Xiaopeng;DU Haiyan;ZHANG Ke;PENG Hong(Department of Respiratory and Critical Care Medicine,Second Xiangya Hospital,Changsha 410011;Department of Critical Care Medicine,Hunan Want Want Hospital,Changsha 410016;Department of Geratology,Ninth Hospital of Changsha,Changsha 410001;Department of Pathology,Second Xiangya Hospital,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院呼吸与危重症医学科,长沙410011 [2]湖南旺旺医院重症医学科,长沙410016 [3]长沙市第九医院老年科,长沙410001 [4]中南大学湘雅二医院病理科,长沙410011

出　　处：《中南大学学报（医学版）》2020年第12期1504-1508,共5页Journal of Central South University ：Medical Science

基　　金：国家重点临床专科建设项目(2012-650);国家自然科学基金(81800043)。

摘　　要：原发性肺肠型腺癌作为肺腺癌中的少见类型,临床表现缺乏特异性,确诊主要依靠病理学检查。2018年11月中南大学湘雅二医院呼吸与危重症医学科收治1例原发性肺肠型腺癌患者,该患者因“咳嗽、咳痰约1年”入院。患者抗感染治疗无效,肺穿刺活检诊断为肠型腺癌。本文通过回顾此1例原发性肺肠型腺癌的诊疗经过,结合文献复习总结该疾病的临床特点,以提高临床医生对该疾病的认识。Primary enteric adenocarcinoma is a rare variant of primary pulmonary adenocarcinoma.This disease lacks a distinctive manifestation and often requires pathological examination to make a definite diagnosis.A male patient visited the Second Xiangya Hospital,Central South University for consistent cough and sputum production for about 1 year.Antiinfection therapy was given but it showed ineffectiveness.Enteric adenocarcinoma was diagnosed after percutaneous lung biopsy according to pathological findings.Combining this case with relevant literature,we summarized the characteristics to raise physicians’awareness for this rare subtype.

关 键 词：原发性肺肠型腺癌 肺腺癌 活检 

分 类 号：R734.2[医药卫生—肿瘤]