肺肉瘤癌皮肤转移1例并文献复习

摘要

目的：提高肺肉瘤样癌发生皮肤转移的认识。方法分析我科收治的发生皮肤转移的肺肉瘤样癌患者的临床特点及相关文献资料，分析肺肉瘤样癌皮肤转移的特点。结果皮肤结节可能是肺肉瘤样癌的首发症状，皮肤结节病灶活检病理免疫组化VIM和CK阳性支持肉瘤样癌诊断。结论肺肉瘤样癌发生皮肤转移罕见，皮肤结节活检有助于明确诊断，肺肉瘤样癌治疗同非小细胞肺癌，预后极差。%Objective To improve awareness of skin metastasis of sarcomatoid carcinoma of the lung.Methods Clinical features and related literature review of patients with skin metastasis of sarcomatoid carcinoma of the lung who were admitted to our departments were analyzed and features of skin metastasis of sarcomatoid carcinoma of the lung were also analyzed.ResultsSkin nodules might be the first symptom of sarcomatoid carcinoma of the lung and positive VIM and CK lesion biopsy pathology immunohistochemistry of skin nodules support the diagnosis of sarcomatoid carcinoma of the lung.Conclusion Skin metastasis of sarcomatoid carcinoma of the lung is rare and biopsy of skin nodules is helpful for definite diagnosis.Treatment of sarcomatoid carcinoma of the lung is the same as the non-small cell lung cancer and its prognosis is poor.