肺原发性上皮-肌上皮癌:罕见部位罕见实体的报告

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL International Journal of Noncommunicable Diseases Pub Date : 2022-04-01 DOI:10.4103/jncd.jncd_78_20
Deepak K. Uppal, D. Khosla, D. Chatterjee, Vrinda Singla, D. Kumar, R. Madan, R. Kapoor
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摘要

肺上皮-肌上皮癌(EMC)是一种罕见的肿瘤,约占所有原发性肺癌的0.1%-1%。EMC通常有一个缓慢的过程,偶尔会有远处转移。一名52岁男性,右肺上叶有纵隔淋巴结,无法切除。支气管镜活检和详细的组织病理学检查显示肺部有电磁兼容性。由于患者病情晚期,表现不佳,他接受了姑息性放疗和姑息性化疗的治疗。然而,患者在两个周期的姑息性化疗后死于该疾病。肺部EMC的经验有限,最佳治疗方案尚未确定,目前的治疗主要是根据头颈部唾液腺的EMC推断的。我们在肺部EMC的有限文献中增加了另一个病例。
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Primary epithelial–myoepithelial carcinoma of the lung: Reporting a rare entity at a rare location
Epithelial–myoepithelial carcinoma (EMC) of the lung is a rare neoplasm, constituting about 0.1%–1% of all primary lung cancers. EMC usually has an indolent course with occasional distant metastasis. A 52-year-old male presented with an unresectable lesion in the upper lobe of the right lung with mediastinal lymph nodes. Bronchoscopic biopsy and detailed histopathological examination revealed an EMC of the lung. Due to advanced disease and poor performance status of the patient, he was treated with palliative radiation followed by palliative chemotherapy. However, the patient succumbed to the disease after two cycles of palliative chemotherapy. Experience with EMC of the lung is limited and optimal treatment protocols have not been defined, with current treatment mainly extrapolated from EMC of the salivary glands from the head and neck. We add another case to the limited literature of EMC of the lung.
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