经支气管镜支架植入联合化疗及阿帕替尼成功救治直肠癌支气管转移患者1例

摘要

The lungs are the most common sites of metastases from non-pulmonary malignancies.On the other hand,endobronchial metastases are rare.Various tumors have been associated with endobronchial metastasis,most commonly renal,breast and colorectal cancer.Advanced rectal cancerwith lung metastasis is common.However,endobronchial metastasis without lung metastasis of rectal cancer is rare,and easily misdiagnosed.We report one case of postoperative rectal cancer with endobronchial,pleuralcavity,pericardial cavitymetastasis,giving the comprehensive treatment of bronchial stentimplantation,chemotherapy,targeted drugs and remission.The process of diagnosis and treatmentis relatively complex,therefore it has a certain clinical reference value.%肺是肺外恶性肿瘤转移最常见的部位,而气道内转移少见.气道内转移最常见的肿瘤是肾癌、乳腺癌和结直肠癌.直肠癌晚期会出现肺转移,但气道内转移而无肺转移的少见,易误诊.我们报道1例直肠癌术后出现支气管内、胸膜腔、心包腔内转移,给予经支气管镜支架植入、化疗、靶向药物等综合治疗而获缓解的病例.诊治过程较为复杂,故有一定临床参考价值.