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来自初级肺腺癌的十二指管转移:一个诊断和治疗的挑战

Philip Bouchette¹, Rachaita Lakra¹, Seth Haydel²

¹Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.

|July 24, 2023

概括

本案例研究突出了一个罕见的胃肠道上部出血的例子,由初级肺腺癌的十二指肠转移引起. 它强调了肺癌扩散到小肠的不寻常表现.

科学领域:

在瘤学瘤学.
胃肠病学胃肠病学
肺部病理学肺部病理学

背景情况:

从原发性肺癌的远程转移通常会影响肝脏,大脑,上腺和骨等器官.
小肠,特别是十二指肠的转移是肺癌患者的罕见现象.

研究的目的:

报告一种罕见的胃肠上部出血病例,该病例源于初级肺腺癌的十二指肠转移.
讨论与这种不寻常的转移模式相关的诊断和管理挑战.

主要方法:

一个病例报告详细介绍了一个43岁的女性患者呈现出血.
诊断程序包括食管胃管腺镜检查 (EGD) 和用免疫组织化学 (IHC) 染色进行组织病理学检查.

主要成果:

EGD揭示了十二指肠中的一个功能性质量,经组织学证实是差分化的恶性.
IHC染色确定了转移源于初级肺腺癌的转移.
该患者的转移严重,功能状态低.

结论:

由肺癌引起的十二指甲状腺转移是罕见的,缺乏确定的管理准则.
这个病例由于广泛的转移和患者的病情而带来了重大挑战,该病例通过家庭临终关怀来管理.

关键词:

肺部腺癌肺部腺癌十二指甲状腺转移.消化管胃管腺镜检查 (egd) 的方法免疫组织化学标志物上部胃肠道 (ugi) 出血

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