全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2017 

胃印戒细胞癌伴肺淋巴管癌病三例并文献复习

DOI: doi:10.7507/1671-6205.201612041

Keywords: 肺淋巴管癌病, 胃印戒细胞癌, 转移

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的提高对胃印戒细胞癌伴肺淋巴管癌病(PLC)的临床表现、胸部影像学表现及病理特征的认识,减少误诊。方法对 3 例诊断为胃印戒细胞癌伴 PLC 患者的临床表现、影像学资料,结合有关文献进行回顾性分析。以“肺淋巴管癌病”、“肺癌性淋巴管炎”、“胃印戒细胞癌”及“pulmonary lymphangitic carcinomatosis”、“gastric signet ring cell carcinoma”为检索词在万方、维普、中国知网及 Pubmed 数据库检索相关文献并进行分析。结果3 例患者年龄 20~50 岁,平均年龄 34 岁,其中 2 例男性,1 例女性,均因不同程度的咳嗽、气促等呼吸道症状就诊。胸部高分辨率 CT 表现:3 例均可见不均匀小叶间隔增厚,1 例伴有纵隔淋巴结肿大,2 例合并双侧胸腔积液。3 例均行胃镜活检病理示胃印戒细胞癌。其中 1 例经化疗已生存 7 个月,另 2 例失访。经文献检索共检索到 2 例胃印戒细胞癌伴 PLC 患者,2 例均为女性,年龄分别为 45 岁和 59 岁,临床主要表现为干咳、活动后气促,生存期均不足 1 个月。结论胃印戒细胞癌伴 PLC 临床症状缺乏特异性,容易误诊为肺部原发疾病。本病预后差,早期诊断、早期治疗可延长生存期

References

[1]  2. Lin WR, Lai RS. Pulmonary lymphangitic carcinomatosis. QJM, 2014, 107(11): 935-936.
[2]  7. Charest M, Armanious S. Prognostic implication of the lymphangitic carcinomatosis pattern on perfusion lung scan. Can Assoc Radiol J, 2012, 63(4): 294-303.
[3]  1. Bruce DM, Heys SD, Eremin O. Lymphangitis carcinomatosa: a literature review. J R Coll Surg Edinb, 1996, 41(1): 7-13.
[4]  3. Khachekian A, Shargh S, Arabian S. Pulmonary lymphangitic carcinomatosis from metastatic gastric adenocarcinoma: case report. J Am Osteopath Assoc, 2015, 115(5): 332-337.
[5]  4. 张英为, 丁晶晶, 陈露露, 等. 24 例肺淋巴管癌病临床分析并文献回顾.中国呼吸与危重监护杂志, 2011, 10(6): 598-599.
[6]  5. Pernot S, Voron T, Perkins G, et al. Signet-ring cell carcinoma of the stomach: impact on prognosis and specific therapeutic challenge. World J Gastroenterol, 2015, 21(40): 11428-11438.
[7]  6. Lee SH, Jee SR, Kim JH, et al. Intramucosal gastric cancer: the rate of lymph node metastasis in signet ring cell carcinoma is as low as that in well-differentiated adenocarcinoma. Eur J Gastroenterol Hepatol, 2015, 27(2): 170-174.
[8]  8. Ikezoe J, Godwin JD, Hunt KJ, et al. Pulmonary lymphangitic carcinomatosis: chronicity of radiographic findings in long-term survivors. Am J Roentgenol, 1995, 165(1): 49-52.
[9]  9. Prakash P, Kalra MK, Sharma A, et al. FDG PET/CT in assessment of pulmonary lymphangitic carcinomatosis. Am J Roentgenol, 2010, 194(1): 231-236.
[10]  10. Piessen G, Messager M, Leteurtre E, et al. Signet ring cell histology is an independent predictor of poor prognosis in gastric adenocarcinoma regardless of tumoral clinical presentation. Ann Surg, 2009, 250(6): 878-887.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133