胸膜粘膜皮质癌完全切除21年后的多复发:一个病例报告
Shoko Hayashi1, Keigo Matsushima1, Masashi Mikubo1
1Department of Thoracic Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, 252-0374, Japan.
General Thoracic and Cardiovascular Surgery Cases
|November 9, 2024
概括
本案例研究详细介绍了一种罕见的胸膜粘膜皮质癌 (MEC),在外科手术后21年内发生多叶性复发. 患者仍然无症状,瘤生长缓慢,突出显示了长期生存的可能性.
科学领域:
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
- 病理学 病理学 病理学
背景情况:
- 胸膜粘膜皮质癌 (MECs) 是一种非常罕见的恶性瘤.
- 本报告侧重于一个高度MEC病例,其异常长期的临床过程.
研究的目的:
- 描述一个罕见的胸膜MEC病例与晚期肺部复发.
- 分析高度胸膜MEC的临床过程和复发模式.
主要方法:
- 一名79岁的妇女有手术切除高度胸膜MEC的病史,出现了偶发的肺不透明.
- 穿皮活检证实了胸膜MEC,成像表明肺转移.
- 术后检查结果显示有多发性扩散;没有切除,进行了探索性胸腔镜检查.
主要成果:
- 在初始完全切除21年后,诊断出胸膜MEC的多扩散.
- 患者选择不接受辅助治疗,目前无症状,瘤进展缓慢.
- 患者正在进行保守的管理,并进行持续的随访.
结论:
- 这一案例突显出一种罕见的胸膜MEC晚期肺复发的例子.
- 术切除的作用,包括脱皮,对于发散的胸腺癌需要进一步调查.
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