摘要
<正>患者,男,64岁,因体检发现右肺占位于2016年6月7日入院,入院时无咳嗽、咳痰,吸烟30包/年。否认家族史。肺部CT增强示右肺下叶占位(图1A、B)。行胸腔镜下右肺中下叶切除术,术后病理示:右肺鳞状细胞癌,中-低分化伴明显坏死,肿瘤大小3.0 cm×2.5 cm×2.0 cm,脉管及神经可见癌浸润,支气管壁可见癌浸润,支气管切缘支气管旁淋巴结可见癌转移(1/3),分送各组淋巴结可见癌转移,右肺中叶动脉旁(1/1)、右肺上叶气管旁(0/
引文
1 Torre L A,Bray F,Siegel R L,et al.Global cancer statistics,2012[J].CA Cancer J Clin,2015,65(2):87-108.
2 韩苏军,张思维,陈万青,等.中国前列腺癌发病现状和流行趋势分析[J].临床肿瘤学杂志,2013,18(4):330-334.
3 朱莉菲,薛鹏,王理伟.65例多原发癌的临床回顾性研究[J].复旦学报(医学版),2010,37(5):591-593.
4 李敏,谢明.多原发恶性肿瘤研究进展[J].中国癌症杂志,2017,27(2):156-160.
5 Cramer D W,Finn O J.Epidemiologic perspective on immune-surveillance in cancer[J].Curr Opin Immunol,2011,23(2):265-271.
6 Davis E J,Beebe-Dimmer J L,Yee C L,et al.Risk of second primary tumors in men diagnosed with prostate cancer:a population-based cohort study[J].Cancer,2014,120(17):2735-2741.
7 吕佳铭,熊华才,吴波,等.138例首发于消化系统的多原发癌临床分析[J].中华肿瘤杂志,2018,40(2):147-150.
8 Ozsoy O,Fioretta G,Ares C,et al.Incidental detection of synchronous primary tumours during staging workup for prostate cancer[J].Swiss Med Wkly,2010,140(15-16):233-236.
9 Popoola A A,Abiola O O,Buhari T,et al.Multiple primary cancers:Simultaneously occurring prostate cancer and other primary tumors-our experience and literature search[J].Niger J Clin Pract,2017,20(3):278-282.