【非侵袭性胸腺瘤切除术后肺转移1例——核DNA图谱及病理分析】。

T Noriyuki, S Yoshioka, T Kataoka, S Shibata, Y Miyata, K Dohi
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摘要

非侵袭性胸腺瘤切除后,在左上肺叶和左下肺叶发现两个转移性肺肿瘤。下肺叶转移瘤与上肺叶转移瘤在肿瘤倍增时间(TDT)和侵袭程度上存在差异。肿瘤tdt分别为834.1 d和328.3 d,肿瘤侵袭左下叶左侧外侧基段支气管(B9)。两种肿瘤的差异是由病理表现和核DNA模式决定的。病理上,切除的胸腺瘤和两例转移瘤均为混合型,由上皮细胞和淋巴细胞组成。但从上皮形态来看,切除的胸腺瘤和下叶肿瘤属于皮质型,只有上叶生长缓慢的肿瘤含有梭形细胞成分。切除的胸腺瘤的DNA模式为非整倍体,两个转移性肿瘤为二倍体。由于这个病例在临床和病理上都很有趣,我们报道了它。
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[Pulmonary metastasis after resection of non-invasive thymoma: a case report--analysis of nuclear DNA pattern and pathological findings].

After resection of a non-invasive thymoma, two metastatic lung tumors were found in the left upper lobe and the left lower lobe. There were differences in tumor doubling time (TDT) and invasion between the metastatic tumor in the lower lobe and the one in the upper lobe. The TDTs of the tumors were 834.1 days and 328.3 days, and the tumor of the left lower lobe invaded the left lateral basal segmental bronchus (B9). The differences in the two tumors were determined by pathological findings and nuclear DNA pattern. Pathologically, the resected thymoma and both of the metastatic tumors were mixed type, which consisted of epithelial cells and lymphocytes. But by epithelium form, the resected thymoma and the tumor in the lower lobe were classified as cortex type, and only the slow growing tumor in the upper lobe contained a spindle-cell component. The DNA pattern of the resected thymoma was aneuploid and the two metastatic tumors were diploid. As this case is very interesting clinically and pathologically, we reported it.

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