胃粘膜腺癌呈现慢性咳,支气管血管捆结厚和多个肺结节:一个病例报告
Hongchun Huang1, Fushou Chen1, Hui Huang1
1Department of Respiratory and Critical Care Medicine,Wuming Hospital of Guangxi Medical University, Nanning, Guangxi,, China.
Frontiers in oncology
|February 13, 2026
概括
一个罕见的胃癌病例与肺部扩散呈现为慢性咳,突出需要进行彻底的诊断. 早期发现胃肠道病因对于预防误诊和改善患者的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 慢性咳是一种常见的症状,有多种不同的原因.
- 慢性咳的胃肠道来源,特别是肺淋巴炎性肺癌的胃癌,经常被忽视.
- 缺乏典型的胃肠道症状可能会导致诊断挑战.
研究的目的:
- 报告一例胃粘膜腺癌与肺淋巴炎性癌症,呈慢性咳的病例.
- 强调在患有无法解释的慢性咳的患者中考虑肺外疾病的重要性.
- 突出诊断的挑战和需要一个全面的方法.
主要方法:
- 一个52岁的女性病人的病例报告,患有慢性咳.
- 诊断工作包括胸部CT,胃镜和术后病理检查.
- 治疗包括激进胃切除术和化疗 (SOX疗法).
主要成果:
- 诊断出胃粘膜腺癌与肺淋巴炎性癌症.
- 患者最初对化疗有反应,但后来发生骨转移和疾病进展.
- 该案例说明了由于没有胃肠道症状而延迟诊断.
结论:
- 慢性咳可能是晚期胃癌的非典型表现.
- 广泛的诊断方法对于识别潜在的胃肠道病因至关重要.
- 迅速识别和管理这些病例至关重要,以防止错过诊断和改善预后.
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