空洞性肺转移1例

Maja Stankov, Darka Hadnadjev-Simonji, M. Basta-Nikolic, J. Ristić
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引用次数: 0

摘要

介绍。肺是癌和肉瘤最常见的转移部位之一。继发性肺肿瘤通常多发,呈椭圆形,位于肺周围。转移性肺结节的空化非常罕见,最常见于头颈部和子宫颈的原发性鳞状细胞癌。病例报告。我们报告的情况下,62岁的男子提出吞咽困难的固体食物和体重下降,在过去的两个月。患者有长期吸烟和定期饮酒史。钡餐示食管近端不规则狭窄,高度怀疑恶性肿瘤。颈部及胸部电脑断层显示肿瘤浸润于颈部及胸段食道近端,并有多发空洞及实性肺转移灶。结论。胸部的高分辨率计算机断层扫描和影像学特征,如壁结节、不规则的腔内轮廓和针状边缘,可以精确地表征腔转移性病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cavitary pulmonary metastases: A case report
Introduction. The lungs are one of the most common sites of metastases from carcinomas and sarcomas. Secondary pulmonary tumors are typically multiple, oval in shape and located in the lung periphery. Cavitation of metastatic pulmonary nodules is extremely rare and most often occurs in primary squamous cell carcinomas of the head and neck and the cervix. Case Report. We report the case of a 62-year-old man presenting with dysphagia for solid foods and weight loss in the last two months. The patient had a history of long-term smoking and regular alcohol consumption. A barium meal showed irregular stricture in the proximal esophagus, highly suspicious of malignancy. Computed tomography of the neck and thorax showed tumor infiltration of the cervical and proximal part of the thoracic esophagus and multiple cavitary and solid pulmonary metastases. Conclusion. High-resolution computed tomography of the chest and radiological features such as a wall nodules, irregular internal contour of the cavity and spiculated edges allow precise characterization of cavitary metastatic lesions.
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