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中华结直肠疾病电子杂志 ›› 2019, Vol. 08 ›› Issue (01) : 76 -79. doi: 10.3877/cma.j.issn.2095-3224.2019.01.016

所属专题: 经典病例 经典病例 文献

病例报道

肺鳞癌结肠黏膜转移一例报告和文献复习
卢鑫1, 冯勤付2,()   
  1. 1. 271000 泰安市肿瘤防治院放疗科;100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院放疗科
    2. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院放疗科
  • 收稿日期:2018-07-18 出版日期:2019-02-25
  • 通信作者: 冯勤付

Colonic metastasis of lung squamous cell carcinoma: A case report and literature review

Xin Lu1, Qinfu Feng2,()   

  1. 1. Department of Radiotherapy, Taian Tumor Hospital, Taian 271000, China; Department of Radiotherapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
    2. Department of Radiotherapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2018-07-18 Published:2019-02-25
  • Corresponding author: Qinfu Feng
  • About author:
    Corresponding author: Feng Qinfu, Email:
引用本文:

卢鑫, 冯勤付. 肺鳞癌结肠黏膜转移一例报告和文献复习[J/OL]. 中华结直肠疾病电子杂志, 2019, 08(01): 76-79.

Xin Lu, Qinfu Feng. Colonic metastasis of lung squamous cell carcinoma: A case report and literature review[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(01): 76-79.

肺癌患者发生结肠转移非常罕见,患者一般无典型症状,晚期可出现腹痛、消化道出血、梗阻、穿孔等症状,并发症和死亡率较高,短期预后差。本中心报道一位63岁男性患者,以"间断咳嗽和右下腹隐痛"就诊,诊断肺鳞状细胞癌并纵隔淋巴结转移和结肠寡转移,经过PD-1免疫治疗,症状改善明显,目前仍在治疗和随访中。

Colonic metastasis is rare in patients with lung cancer, generally no typical symptoms at first, until the advanced stage, patients may present with symptoms such as abdominal pain, gastrointestinal bleeding, obstruction and perforation, complications associated with high mortality and poor short-term prognosis. Here, we report a 63-year-old male patient with intermittent cough and abdominal dull pain at right lower quadrant, clinic diagnosis is lung squamous cell carcinoma with mediastinal lymph node metastasis and single colonic metastasis, after treatment, the symptoms improved significantly, the patient is still under treatment and follow-up.

图4 结肠转移灶PET-CT影像(2017.11.30)
图6 结肠转移灶HE染色(10×)
图14 PD-1治疗四疗程后结肠转移病灶(2018.8.1)
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