以小细胞神经内分泌癌和鳞癌为表现的同时同叶双原发肺癌1例  

Synchronous and Ipsilateral Double Primary Lung Cancer Presenting with Small-cell Neuroendocrine Carcinoma and Squamous-cell Carcinoma:A Case Report

作　　者：周琪鹏 吴敏丹 杨彦龙[2] 孙建鸿 郑文川 林茂煌[1] 张淇钏[1] ZHOU Qi-peng;WU Min-dan;Yang Yan-long;Sun Jian-hong;ZHENG Wen-chuan;LIN Mao-huang;ZHANG Qi-chuan(Department of Respiratory and Critical Care Medicine,Shantou Central Hospital,Shantou 515000,Guangdong Province,China;Department of Cardiothoracic Surgery,Shantou Central Hospital,Shantou 515000,Guangdong Province,China;Department of Pathology,Shantou Central Hospital,Shantou 515000,Guangdong Province,China)

机构地区：[1]汕头市中心医院呼吸与危重症医学科 [2]汕头市中心医院心胸外科 [3]汕头市中心医院病理科,广东汕头515000

出　　处：《中国CT和MRI杂志》2024年第9期184-185,共2页Chinese Journal of CT and MRI

基　　金：汕头市医疗卫生科技计划项目(汕府科[2019]106号-32,190917085269841)。

摘　　要：多原发性肺癌(MPLC)是一种较为罕见的肺癌类型,小细胞肺癌及非小细胞肺癌同时存在于同一肺叶的MPLC更为罕见。我们报道一例63岁男性,既往无吸烟史,无恶性肿瘤家族史,在左肺上叶同时发现两个结节,一个结节以分叶状为特征,另一个以毛刺、空泡、胸膜牵拉为特征,术后病理提示小细胞神经内分泌癌和鳞癌,诊断为同时同侧同叶双原发肺癌(pT1bN0M0,IA2期),并对其CT特征进行分析,以提高临床医生对该病的认识。Multiple primary lung cancer(MPLC)is a relatively rare type of lung cancer.It is even rarer that co-existing small cell lung cancer and non-small cell lung cancer in the same lung lobe.We reported a 63-year-old male without previous smoking history and family history of malignant tumors.Two nodules were found simultaneously in his left upper lung lobe.One nodule was characterized by lobulation,while the other was characterized by burrs,vacuoles,and pleural traction.Postoperative pathology revealed small-cell neuroendocrine carcinoma and squamous-cell carcinoma.His diagnosis was simultaneous ipsilateral double primary lung cancer(pT1bN0M0,stage IA2).We analyzed his CT features in order to raise awareness of MPLC among clinical doctors.

关 键 词：鳞状细胞癌 小细胞神经内分泌癌 双原发肺癌 同叶 同时 

分 类 号：R734.2[医药卫生—肿瘤]