高级别胎儿型肺腺癌并头皮转移1例  

High-grade Fetal Adenocarcinoma of the Lung with Scalp Metastasis:A Case Report

作　　者：德吉央宗[1] 边玛措[2] 王玺[3] 王寒 Yangzong DEJI;Macuo BIAN;Xi WANG;Han WANG(School of Medicine,Tibet University,Lhasa 850010,China;Department of Respiratory and Critical Care,Tibet Autonomous Region People's Hospital,Lhasa 850034,China;Department of Respiratory and Critical Care Medicine,Peking University First Hospital,Beijing 100034,China;Department of Pathology,Tibet Autonomous Region People's Hospital,Lhasa 850034,China)

机构地区：[1]西藏大学医学院,拉萨850010 [2]西藏自治区人民医院呼吸与危重症科,拉萨850034 [3]北京大学第一医院呼吸与危重症医学科,北京100034 [4]西藏自治区人民医院病理科,拉萨850034

出　　处：《中国肺癌杂志》2024年第2期147-151,共5页Chinese Journal of Lung Cancer

摘　　要：胎儿型肺腺癌(fetal adenocarcinoma of the lung,FLAC)是一种罕见的肺部肿瘤。FLAC分为低级别FLAC(low-grade FLAC,L-FLAC)和高级别FLAC(high-grade FLAC,H-FLAC),两者在临床病理特征、生物学行为和临床结局方面有所不同。大多数H-FLAC患者是重度吸烟的中年人。本研究描述了1例罕见的非吸烟年轻男性患者,其最初表现为头顶肿块,最终被诊断为H-FLAC。本文旨在增进对FLAC的了解和认识,提高对该疾病的重视,以防止该疾病漏诊与误诊,加强早期识别、精准诊断,从而推进后续的有效治疗、改善预后。Fetal adenocarcinoma of the lung(FLAC)is a rare tumor.Due to its different clinicopathological features,biological behavior and clinical outcome,FLAC is classified into low-grade FLAC(L-FLAC)and high-grade FLAC(HFLAC).Most patients with H-FLAC are middle-aged heavy smokers.Here,we describe an extremely rare case of a young male patient who denies smoking and initially presents with a mass on the top of the head and is eventually diagnosed with H-FLAC.The aim of this article is to improve the understanding and awareness of FLAC,and increase the attention to the disease,so as to prevent the underdiagnosis and misdiagnosis of the disease,strengthen early identification and accurate diagnosis,and promote subsequent effective treatment and improve prognosis.

关 键 词：青年 胎儿型肺腺癌 头皮肿瘤 转移 

分 类 号：R734.2[医药卫生—肿瘤]