1例肺肉瘤样癌短期内口腔齿龈转移报告合并文献分析  

Short Term Metastasis of Oral Gum of Pulmonary Sarcomatoid Carcinoma:A Case Report and Literature Review

作　　者：张倩[1] 李彩丽[1] 李硕[1] 董丽霞[1] 冯靖[1] 曹洁[1] ZHANG Qian;LI Caili;LI Shuo(Tianjin Medical University General Hospital,Tianjin,300052)

机构地区：[1]天津医科大学总医院,300052

出　　处：《实用癌症杂志》2022年第3期434-436,共3页The Practical Journal of Cancer

摘　　要：目的探讨肺肉瘤样癌(PSC)的临床特点,提高对该疾病的认识。方法回顾性分析1例PSC的临床表现、影像特征、病理学特点、治疗和预后。结果患者CT检查结果显示右肺下叶多个软组织肿块,经皮肺活检确诊为肉瘤样癌,PET-CT结果显示多发肺内转移和骨转移。入院几天后口腔齿龈迅速出现转移,患者拒绝进一步检查治疗,自动出院。结论PSC是一种少见的肺部肿瘤,生物学行为具有高侵袭性,预后差;诊断方法是组织病理学和免疫组化;主要治疗方法是手术切除、术后化疗、靶向治疗、免疫治疗,但疗效不确定。Objective To investigate the clinical features of pulmonary sarcomatoid carcinoma(PSC)and improve the understanding of the disease.Methods The clinical manifestations,imaging features,pathological features,treatment and prognosis of a case of PSC were analyzed retrospectively.Results CT examination showed multiple soft tissue masses in the lower lobe of the right lung.Percutaneous lung biopsy confirmed sarcomatoid carcinoma.PET-CT showed multiple intrapulmonary and bone metastases.A few days after admission,oral gingival metastasis occurred rapidly.The patient refused further examination and treatment and was discharged automatically.Conclusion PSC is a rare lung tumor with high invasiveness and poor prognosis;The diagnostic methods were histopathology and immunohistochemistry;The main treatment methods are surgical resection,postoperative chemotherapy,targeted therapy and immunotherapy,but the curative effect is uncertain.

关 键 词：肺肉瘤样癌 临床特点 治疗 预后 

分 类 号：R734.2[医药卫生—肿瘤]