肺淋巴炎癌症 - - 尸体解剖的经验
Pradeep Vaideeswar1, Gwendolyn Fernandes2, Sharada Datar2
1Department of Pathology, Cardiovascular and Thoracic Division, Seth GS Medical College, Mumbai, Maharashtra, India.
Indian journal of pathology & microbiology
|July 8, 2024
概括
肺淋巴炎性癌症,一种罕见的癌症扩散,经常被诊断不足. 尸体解剖结果显示,在患上上皮质癌症的患者中,它经常出现呼吸衰竭.
科学领域:
- 病理学 病理学 病理学
- 在瘤学瘤学.
- 肺部医学 肺部医学
背景情况:
- 肺淋巴炎性癌症 (PLC) 是一种罕见的转移性模式,以恶性细胞的扩散淋巴透为特征.
- 它主要通过案例报告和小案例系列来记录,突出了全面理解的差距.
研究的目的:
- 使用尸检数据调查肺淋巴炎性癌症的临床病理学特征.
- 分析与这种疾病相关的人口,临床和病理发现.
主要方法:
- 一个回顾性分析的尸检数据跨越11年在三级医疗医院.
- 纳入标准:组织学证实肺的淋巴炎性癌症.
- 收集的数据包括人口统计,临床表现,调查,原发性癌症部位和尸检结果.
主要成果:
- 在7521次尸检中,43例 (16.9%) 患有肺转移;22例 (13名女性,9名男性,平均年龄为52.04岁) 显示确认了PLC.
- 死亡前诊断仅在一个案例中进行.
- 最常见的主要部位是胃或肺部 (40.9%),呼吸障碍是主要症状. 肝脏和淋巴结是常见的非肺转移部位.
结论:
- 肺淋巴炎性癌症经常被诊断不足.
- 在患上上皮质癌的患者中,急性渐进性呼吸衰竭应引起对PLC的怀疑.
- 这项研究代表了迄今为止关于PLC的最大的基于尸检的系列之一.
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