原发性肺癌胃转移的临床特点浅析附1例报告并文献总结

Clinicai Features Of Primary Lung Cancer Metastases to the Stomach One Case Report and Literature Review

原发性肺癌胃转移临床罕见,随着消化内镜和其它影像学手段的应用,该病报告有增多的趋势,新近,我们发现一例,并回顾分析了近十四年来文献报道的另外6例,对该病的临床特点,包括胃转移病灶的发现、症状、诊断、治疗和预后进行总结,结果显示胃转移病灶发现时距原发性肺癌诊断后2-14个月,平均6.6个月,上消化道出血是主要临床症状,胃镜及PET、CT检查有助于及时发现转移病灶,确诊有赖于活检病理检查和免疫组化分析,原发性肺癌发生胃转移,常伴有其它转移灶,缺乏有效治疗手段,预后不良.

Primary lung cancer metastases to the stomach are rare, with the application of the digestive endoscopy and other imaging methods,reports of the disease showing a rising trend. Recently, a case were discovered, analysing with other 6 cases recorded in nearly 14 years, we summarizethe clinical features of the disease, including the lesions found, symptoms, diagnosis, treatment and prognosis of the metastases in the stomach. Theresults showed the lesions of metastases in stomach often be found after diagnosed with primary lung cancer about 2-14 months, average of 6.6 months,the main clinical symptoms is upper gastrointestinal bleeding, examining with endoscopy and PET, CT can help to detect metastatic lesions, and itsdiagnosis relies on biopsy and immunohistochemical analysis. Metastases in stomach from primary lung cancer often accompanied by other metastases,however, its now still lack of effective treatment, and prognoses are poor.