周围质量作为转移性肺部瘤的首发
Lorena Apodaca1, Tania Pastor2, Ane Etxart2
1General and Digestive Surgery. Coloproctology Unit, Hospital Universitario Donostia, Spain.
Revista espanola de enfermedades digestivas
|January 20, 2025
概括
一个56岁的男性吸烟者的疼痛质块被诊断为差分化转移性癌瘤. 调查显示多个腹腔内质量和肺部瘤,表明晚期癌症.
科学领域:
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
- 手术病理学手术病理学
背景情况:
- 一名56岁的男性吸烟者在两个月的病史中出现了疼痛的左侧脊椎直肠质.
- 初步检查显示,是一块硬的紫色质块,中部有.
研究的目的:
- 在怀疑患有晚期恶性瘤的患者中,研究疼痛性脊椎直肠体质量的性质.
- 确定主要瘤部位和转移性疾病的程度.
主要方法:
- 临床检查和标准血液检查.
- 腹腔盆腔计算机断层扫描 (CT) 扫描.
- 组织组织的活检用于他的病理学分析.
- 大脑磁共振成像 (MRI) 和胸部CT扫描.
主要成果:
- 血液检查结果并不显著.
- 腹腔盆腔CT检测出多个高血管腹腔内体质和软组织病变.
- 活检证实了差分化转移性癌瘤.
- 胸部CT显示病理性淋巴腺病变和腔腔肺质量,暗示原发性瘤. 大脑MRI是正常的.
结论:
- 脊椎直肠体质量是差异化转移性癌症的表现.
- 这些发现表明,这是一个主要的肺瘤,具有广泛的腹内转移和潜在的结节转移.
- 多模式成像和活检对于诊断晚期转移性疾病至关重要.
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