肺转移性印戒细胞癌1例并文献复习

摘要

目的 研究胃印戒细胞癌肺转移的临床特点.方法 介绍1例对肺转移性印戒细胞癌的病例,并进行文献复习.结果 以慢性咳嗽患者影像学上支气管周围斑片状阴影及多发纵隔淋巴结肿大并伴有外周血嗜酸粒细胞的增多,应考虑消化道肿瘤的可能.结论 恶性度极高的黏液细胞型胃癌,可以跳跃转移到肺及纵膈.如果慢性咳嗽的患者,外周血嗜酸粒细胞的增多时,应尽早行肿瘤标记物及内窥镜的检查,以提高肿瘤的早期诊断率.%Objective To evaluate the efficacy of bronchial arteral infusion ( BAI )combined with 3-dimensional conformal radiation therapy( 3DCRT ) for advanced central nonsmall-cell lung cancer( NSCLC ). Methods To retrospectively analyze the effectiveness of BAI combined with 3DCRT group and concurrent, chemoradiation group in the treatment of 73 patients with advanced central NSCIX. Results The effective rate( CR + PR XCBRof treatments group was83. 33% 、91. 67% ,median survival time was 20. 8 months, K2-year survival rate was 80. 55% 、63. 86% ;the effective rate( CR + PR )、CBR of contral group was 62. 16% 、72. 97% .median survival time was 13. 3 months, K2-year survival rate was 59. 46% A0. 54% ;The effective rate、CBR and K2-year survival rate of treatments group were higher than those of contral group and there was significant difference betwween two groups( P <0. 05 ). Conclusion The bronchial arteral infusion combined with 3DCRT can provide patients who had advanced central NSCIX with higher effective rate、CBR and 1 、2-year survival rate compared with concurrent, chemoradiation.