上部胃肠道出血由于转移性肺腺癌在胃和十二指肠
Taha Bin Arif1, Bedoor Alabbas2, Rakesh Vinayek2
1Department of Internal Medicine, Sinai Hospital of Baltimore, Baltimore, MD.
本案例报告强调了一种罕见的肺腺癌转移到胃肠道,特别是胃和十二指肠. 这种通过血液传播的转移表明肺癌患者的预后不佳.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 肺腺癌在血液中转移到胃肠道是非常罕见的.
- 患有转移性肺腺癌的患者往往预后不佳,生存率有限.
研究的目的:
- 报告一个罕见的肺腺癌转移到胃肠道的病例.
- 描述这种病例的临床表现,诊断发现和管理.
主要方法:
- 一个79岁的男性患者的案例研究,有肺腺癌病史.
- 诊断程序包括食管胃管腺镜 (EGD) 和活检.
- 治疗包括内镜多角切除术,静血剪贴安置和加热探头凝血.
主要成果:
- 消化管胃腺镜检查显示了胃多和十二指肠性病变.
- 活检证实了甲状腺转录因子1 (TTF-1) 和纳普辛阳性瘤细胞的存在,符合肺腺癌转移.
- 患者出现了症状性贫血和由于胃肠道出血而导致的黑色素.
结论:
- 肺腺癌的胃肠道转移,虽然很少见,但可能会出现显著的胃肠道出血和贫血.
- 诊断依赖于在胃肠病变中对TTF-1和纳普辛阳性的组织病理学确认.
- 转移到淋巴结,胃和十二指肠的转移性肺腺癌预后不佳,往往需要息或临终关怀.
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