Three cases of resected pleomorphic carcinoma.
Three cases of resected pleomorphic carcinoma.
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多形性癌切除三例。
DOI：
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发表时间：
2010
影响因子：
1.3
通讯作者：
H. Miura
中科院分区：
文献类型：
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作者：
R. Kikuchi;N. Isowa;H. Tokuyasu;Y. Kawasaki;H. Onuma;H. Miura
多形性癌(PC)是一种罕见的肺部恶性肿瘤。我们报告了3例手术切除的病例。病例1：患者为75岁无症状男性，胸片显示右心尖部有空洞。右上叶切除，病理分期为IB(PT2N0M0)。经过3个疗程的辅助化疗，术后56个月无复发。病例2：患者为60岁男性，左高背痛，胸部X线片显示左上肺野有团块影。诱导化疗后行左上叶切除加部分切除S6。病理分期为IIIA(PT2N2M0)。术后4个月在辅助化疗期间死于感染。病例3：一位78岁男性咯血患者在诊断为主动脉瘤即将破裂后接受了主动脉弓置换术。手术中，在左上肺叶发现一个肿瘤。1个月后行左上段节段切除术。病理分期为IIB期(PT3N0M0)。尽管辅助性放射治疗，患者在节段切除9个月后死于癌症。3例最终病理诊断均为PC。应报告更多的PC病例，以建立最佳管理。
Pleomorphic carcinoma (PC) is a rare malignancy of the lung. We present 3 cases that were resected. Case 1: The patient was a 75-year-old asymptomatic man whose chest roentgenogram showed a cavity at the right apex. A right upper lobectomy was performed, and the pathological stage was IB (pT2N0M0). After 3 courses of adjuvant chemotherapy, he is alive without relapse 56 months after the operation. Case 2: The patient was a 60-year-old man with left high back pain whose chest roentgenogram showed a mass shadow in the left upper lung field. A left upper lobectomy with partial resection of S6 was performed after induction chemotherapy. The pathological stage was IIIA (pT2N2M0). He died of infection 4 months after the operation during adjuvant chemotherapy. Case 3: A 78-year-old man with hemoptysis underwent aortic arch replacement after a diagnosis of impending rupture of an aortic aneurysm. During the operation, a tumor in the left upper lung lobe was detected. A left upper division segmentectomy was performed one month later. The pathological stage was IIB (pT3N0M0). Despite adjuvant radiotherapy, the patient died of cancer 9 months after the segmentectomy. The final pathological diagnoses for all 3 cases were PC. More cases of PC should be reported to establish optimal management.