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肺肉瘤样癌2例并文献复习
引用本文:张悦,郭雪君,韩锋锋,管雯斌,皮卫峰.肺肉瘤样癌2例并文献复习[J].临床肺科杂志,2011,16(6):900-902.
作者姓名:张悦  郭雪君  韩锋锋  管雯斌  皮卫峰
作者单位:1. 上海交通大学医学院附属新华医院,呼吸科,上海,200092
2. 上海交通大学医学院附属新华医院,病理科,上海,200092
摘    要:目的提高对肺肉瘤样癌(lung sarcomatoid carcinoma,LSC)的诊断、治疗及预后方面的认识。方法通过对2例LSC患者的诊治进行分析,结合相关文献复习。结果患者表现为咳嗽、咯血、胸痛,其症状与其它类型肺癌相似,增强CT示环形强化为其特征。肺组织活检确诊肺肉瘤样癌(病理及免疫组化)。手术联合化/放疗可延长患者生存时间。结论肺肉瘤样癌罕见,较一般肺癌更具侵袭性,预后差。本病缺乏特异性临床表征,增强CT扫描示环形强化为其特征,但诊断主要依靠手术病理。手术是LSC的首选治疗方法。

关 键 词:  肉瘤样癌  诊断  治疗  预后

Two cases observes of lung sarcomatoid carcinoma and literature review
ZHANG Yue,GUO Xue-jun,HANG Feng-feng,GUANG Wen-bing,et al..Two cases observes of lung sarcomatoid carcinoma and literature review[J].Journal of Clinical Pulmonary Medicine,2011,16(6):900-902.
Authors:ZHANG Yue  GUO Xue-jun  HANG Feng-feng  GUANG Wen-bing  
Affiliation:ZHANG Yue,GUO Xue-jun,HANG Feng-feng,GUANG Wen-bing,et al.Department of Respiratory Diseases,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China
Abstract:Objective To improve the diagnosis,treatment and prognosis of lung sarcomatoid carcinoma(LSC).Methods We analyzed the diagnosis and treatment of two patients with LSC and review literature.Results The patients' clinical manifestations included cough,hemoptysis and chest pain,which were similar to that of other types of lung cancer.There was ring-shaped strengthen in the lung mass of patients with LSC that was its characteristic findings on enhancement CT scan.LSC was diagnosed by lung biopsy(pathological an...
Keywords:lung  sarcomatoid carcinoma  diagnosis  treatment  prognosis  
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