原发性肺多形性腺瘤一例
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摘要
多形性腺瘤是一种好发于涎腺组织的具有恶性潜能的肿瘤,但原发性肺多形性腺瘤在临床上较为少见,国内外也仅有少数病例报道。2017年4月中国医科大学附属第四医院胸外科收治了1例原发性肺多形性腺瘤患者,经单孔胸腔镜手术治疗后,痊愈出院。为提高对肺多形性腺瘤的认识,该研究结合患者的临床资料及相关文献,分析肺多形性腺瘤的诊断与治疗。
Pleomorphic adenoma usually arise in salivary gland tissue with malignant potential. However, primary pulmonary pleomorphic adenoma is rare in clinical practice. Only a few cases have been reported at home and abroad. In April 2017, a patient with primary pulmonary pleomorphic adenoma was admitted to the Department of Thoracic Surgery, the Fourth Affiliated Hospital of China Medical University and treated with the thoracoscopic surgery. The clinical data of this patient as well as related literature on pulmonary pleomorphic adenoma will be introduced in this article.
Pleomorphic adenoma usually arise in salivary gland tissue with malignant potential. However, primary pulmonary pleomorphic adenoma is rare in clinical practice. Only a few cases have been reported at home and abroad. In April 2017, a patient with primary pulmonary pleomorphic adenoma was admitted to the Department of Thoracic Surgery, the Fourth Affiliated Hospital of China Medical University and treated with the thoracoscopic surgery. The clinical data of this patient as well as related literature on pulmonary pleomorphic adenoma will be introduced in this article.
引文
[1] Fitchett J, Luckraz H, Gibbs A, et al. A rare case of primary pleomorphic adenoma in main bronchus[J]. Ann Thorac Surg, 2008,86(3):1025-1026.
[2] Hayes MMM,Vanderwsthuizen NG,Forgie R.Malignant mixed tumor of bronchus-a biphasic neoplasm of epithelial and myoepethelial cells[J].Mod Pathol,1993,6:85-88.
[3] Moran CA,Suster S,Askin FB,Koss MN.Benign and malignant salivary gland-type mixed tumors of the lung.Clinicopathologic and immunohistochemical study of eight cases[J].Cancer,1994,73:2481-2490.
[4] Toshiteru Tokunaga,Hidenori Kunou,Daisuke Ishida,et al.Pleural recurrence after surgery for pleomorphic adenoma arising from peripheral lung:computed tomography-guided percutaneous needle biopsy as apossible mechanism of local failure[J].Gen Thorac Cardiovasc Surg,2015,63:478-482.
[5] Heifetz SA, Collins B, Matt BH. Pleomorphic adenoma (benign mixed tumor) of the trachea[J]. Pediatr Pathol, 1992,12(4):563-574.
[6] 韩志海, 孟激光, 赖莉芬, 等. 中央气道阻塞的诊断与处理研究进展[J].转化医学杂志,2012,1(3):176-179.
[7] Ang KL,Dhannapuneni VR,Morgan WE,et al.Primary pulmonary pleomorphic adenoma.An immunohistochemical study and review of the literature[J].Arch Pathol Lab Med,2003,127(5):621-622.
[8] Carretta A, Libretti L, Taccagni G, et al. Salivary gland-type mixed tumor (pleomorphic adenoma) of the lung[J]. Interact Cardiovasc Thorac Surg, 2004,3(4):663-665.
[9] 刘磊, 阎朝晖, 陶树东. 支撑喉镜下等离子刀切除气管内多形性腺瘤一例[J].中华耳鼻咽喉头颈外科杂志,2015,50(5):425-426.
[10] Kajikawa S, Oki M, Saka H, et al. Pleomorphic adenoma of the trachea[J]. Respiration, 2010,80(5):433-434.
[11] 宫亮,杨和平,沈喻菊,等.右主支气管多形性腺瘤1例报道并文献分析[C]. 广州:中华医学会呼吸病学年会——2011(第十二次全国呼吸病学学术会议)论文汇编,2011.
[12] Payne WS,Scier J,Woolner LB.Mixedtumors of thebronchus (salivary gland type)[J].Thorac Cardiovasc Surg,1965,49:663-668.
[13] Sakamoto H, Uda H, Tanaka T, et al. Pleomorphic adenoma in the periphery of the lung. Report of a case and review of the literature[J]. Arch Pathol Lab Med, 1991,115(4):393-396.
[14] 王洪武, 周云芝, 邹珩, 等. 硬质气管镜结合可弯曲性支气管镜治疗大气道内肿瘤[J].中国肺癌杂志,2009,12(2):139-142.
[2] Hayes MMM,Vanderwsthuizen NG,Forgie R.Malignant mixed tumor of bronchus-a biphasic neoplasm of epithelial and myoepethelial cells[J].Mod Pathol,1993,6:85-88.
[3] Moran CA,Suster S,Askin FB,Koss MN.Benign and malignant salivary gland-type mixed tumors of the lung.Clinicopathologic and immunohistochemical study of eight cases[J].Cancer,1994,73:2481-2490.
[4] Toshiteru Tokunaga,Hidenori Kunou,Daisuke Ishida,et al.Pleural recurrence after surgery for pleomorphic adenoma arising from peripheral lung:computed tomography-guided percutaneous needle biopsy as apossible mechanism of local failure[J].Gen Thorac Cardiovasc Surg,2015,63:478-482.
[5] Heifetz SA, Collins B, Matt BH. Pleomorphic adenoma (benign mixed tumor) of the trachea[J]. Pediatr Pathol, 1992,12(4):563-574.
[6] 韩志海, 孟激光, 赖莉芬, 等. 中央气道阻塞的诊断与处理研究进展[J].转化医学杂志,2012,1(3):176-179.
[7] Ang KL,Dhannapuneni VR,Morgan WE,et al.Primary pulmonary pleomorphic adenoma.An immunohistochemical study and review of the literature[J].Arch Pathol Lab Med,2003,127(5):621-622.
[8] Carretta A, Libretti L, Taccagni G, et al. Salivary gland-type mixed tumor (pleomorphic adenoma) of the lung[J]. Interact Cardiovasc Thorac Surg, 2004,3(4):663-665.
[9] 刘磊, 阎朝晖, 陶树东. 支撑喉镜下等离子刀切除气管内多形性腺瘤一例[J].中华耳鼻咽喉头颈外科杂志,2015,50(5):425-426.
[10] Kajikawa S, Oki M, Saka H, et al. Pleomorphic adenoma of the trachea[J]. Respiration, 2010,80(5):433-434.
[11] 宫亮,杨和平,沈喻菊,等.右主支气管多形性腺瘤1例报道并文献分析[C]. 广州:中华医学会呼吸病学年会——2011(第十二次全国呼吸病学学术会议)论文汇编,2011.
[12] Payne WS,Scier J,Woolner LB.Mixedtumors of thebronchus (salivary gland type)[J].Thorac Cardiovasc Surg,1965,49:663-668.
[13] Sakamoto H, Uda H, Tanaka T, et al. Pleomorphic adenoma in the periphery of the lung. Report of a case and review of the literature[J]. Arch Pathol Lab Med, 1991,115(4):393-396.
[14] 王洪武, 周云芝, 邹珩, 等. 硬质气管镜结合可弯曲性支气管镜治疗大气道内肿瘤[J].中国肺癌杂志,2009,12(2):139-142.