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Mucoepidermoid Carcinoma of the Lung: A Case Report and Literature Review

机译:肺黏液表皮样癌:一例报告并文献复习

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Introduction. Mucoepidermoid carcinoma (MEC) of the lung is a rare form of lung cancer that is classified into low grade and high grade based on histological features. Surgical resection is the primary treatment for low-grade MEC with excellent outcomes, while high-grade MEC is a more aggressive form of malignancy.Clinical Case. We report a case of a 46-year-old woman who presented with dyspnea on exertion. Imaging studies revealed a mass involving the right upper lobe bronchus. Bronchoscopy, surgical resection, and pathological examination revealed a low-grade MEC with tumor-free margins. No adjuvant treatment was given.Discussion. Primary pulmonary MEC is a rare type of lung cancer with only few reported cases. This patient illustrates a typical presentation for low-grade MEC wherein surgical resection is considered curative. In contrast, high-grade MEC is a more aggressive malignancy with a poorer outcome. The role of targeted therapy directed against EGFR or a novel CRTC1-MAML2 fusion protein expressed in some high-grade tumors is yet to be determined.
机译:介绍。肺粘液表皮样癌(MEC)是一种罕见的肺癌,根据组织学特征分为低度和高度肺癌。外科手术切除是低级别MEC的主要治疗方法,具有良好的疗效,而高级别MEC是恶性程度更高的恶性形式。我们报告了一名46岁女性因劳累而出现呼吸困难的病例。影像学检查发现肿块累及右上叶支气管。支气管镜检查,手术切除和病理检查显示低度MEC,无肿瘤切缘。没有给予辅助治疗。原发性肺MEC是一种罕见的肺癌,只有少数报道病例。该患者说明了低度MEC的典型表现,其中手术切除被认为是治愈性的。相比之下,高级别MEC是更具侵略性的恶性肿瘤,预后较差。针对EGFR或某些高级肿瘤中表达的新型CRTC1-MAML2融合蛋白的靶向治疗的作用尚待确定。

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