肺鳞状细胞癌臀区肌肉转移

C. Korkmaz, Ramazan Yolacan, T. Teke, D. M. Yavşan
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摘要

众所周知,肺癌是一种导致各种器官转移的疾病。尽管骨骼肌覆盖了身体的很大一部分和大量的血液积聚,但它是罕见的转移区域。在尸体解剖中,已知只有不到1%的恶性肿瘤通过血源性扩散导致转移。男性,51岁,确诊为鳞状细胞肺癌,经32天的治愈性放疗和6个周期的化疗后,经筛查得知病情好转,对患者进行放射学随访。4个月后,患者以左髋关节疼痛入院。磁共振成像显示左侧臀肌结节状坏死转移肿块。作为实性病变的真切活检的结果,检测到癌转移。在我们的病例中,有肌肉疼痛的患者应该怀疑有转移性肌肉疾病。
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Gluteal region muscle metastasis from squamous cell lung carcinoma
Lung cancer is known as a disease leading to metastases to all types of organs. Although covering a large part of the body and of much blood building-up, skeletal muscles are rare metastatic areas. In autopsies, less than 1% of malignant cancers that are spread hematogenously is known to lead to metastasis. A 51-year- old male patient diagnosed with squamous cell lung cancer and known to be in regression via screening after the administration of 32-day curative radiotheraphy and 6-cycle chemotherapy, the patient was radiologically followed-up. Four months later, he was admitted to outpatient clinic with the complaint of left hip pain. Magnetic resonance imaging revealed a lesion of nodular, necrotic metastatic mass within left gluteus muscles. As a result of tru-cut biopsy performed for the solid lesion, metastasis of carcinoma was detected. As also in our case, metastatic muscle disease should be suspected in patients with muscle pain.
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