位置:首页>过刊目录>正文

检索期刊
刊物信息
杂志封面

国际呼吸杂志

创刊年:1981年

刊   期:半月刊

主   编:阎锡新

主   任:张雷

地   址:石家庄市中山东路361号

邮   编:050017

电   话:0311-86266873

E- mail:guojihuxi@vip.163.com

网   址:www.guojihuxi.com

邮发 代号:18-12

中国连续出版物号:ISSN 1673-436X

CN 13-1368/R

2017 年   第 37 卷   第 15 期   半月刊

肺转移性脂肪肉瘤一例及文献回顾

王妍敏 韩锋锋 管雯斌 彭娟 孙晋渊 郭雪君

【文章下载】

  [摘要] 探讨肺转移性脂肪肉瘤的临床和病理特点,减少误诊、漏诊。 方法 对收治的肺转移性脂肪肉瘤1例的临床资料进行回顾性分析。 结果 本例为55岁男性,因咳嗽、伴气促1个月,加重1天入院。CT和胸水B超示右侧包裹性胸腔积液,肿瘤声学造影示右肺占位。胸外科手术切除右肺肿块,术后病理提示圆细胞性脂肪肉瘤。术后患者出现四肢、臀部、腹部巨大肿块,且生长迅速,术后给予放化疗及对症支持治疗。结论 肺原发性和转移性脂肪肉瘤临床均少见,症状隐匿、缺乏特异性,易误诊,B超肿瘤声学造影有助于早期鉴别,除手术切除外,倍增时间短、多发转移者可考虑术前、术后联合放化疗。

  [Abstract] Analysis of One Patient with Metastatic Liposarcoma of Lung WANG Yan-min, HAN Feng-feng, PENG Juan, SUN Jin-yuan, GUO Xue-jun. (Department of Respiratory Medicine, XinHua Hospital, School of Medicine, Shanghai Jiaotong University, China) GUAN Wen-bin (Department of Pathology, XinHua Hospital, School of Medicine, Shanghai Jiaotong University, China) [Abstract] Objective To investigate the pathological and clinical features of metastatic liposarcoma of lung in order to reduce the misdiagnosis and missed diagnosis rates. Methods Clinical data of 1 patient with metastatic liposarcoma of lung in our hospital was retrospectively analyzed. Results A 55-year-old male complained of having cough and chest distress. Chest CT and ultrasonography showed encapsulated effusion. The pathological report of surgery was liposarcoma. After that, large masses were found in limbs, buttocks and abdomen, progressing quickly. Postoperative radiotherapy and chemotherapy were performed. Conclusion Liposarcoma of lung is rare and uncharacteristic. It tends to be easily misdiagnosed and missed diagnosed. Clinicians should enhance awareness of this disease. Ultrasonic contrast is helpful to the diagnosis. If doubling time of the tumor is short, we suggest combined therapy of surgery, radiotherapy and chemotherapy.

  [关键词] 临床病理特点;脂肪肉瘤

  [Key words]

  [中图分类号]

  [DOI]

  [基金项目]

  [作者简介]

  [作者单位] 上海交通大学医学院附属新华医院呼吸内科

【参考文献】