び漫性胸膜中皮腫との鑑別が困難であった顎下腺腺様嚢胞癌の胸膜転移の1手術例

書誌事項

タイトル別名
  • A Case of Pleural Metastasis of Submandibular Adenoid Cystic Carcinoma that was Difficult to Distinguish from Diffuse Pleural Mesothelioma.

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A 57-year-old man was sent to our hospital because of right back pain.Chest X-ray showed a massive pleural effusion on the right side. Diagnostic imaging and further examination of the pleural effusion disclosed no evidence of malignancy.After 4 months, computed tomography of the chest disclosed the increase of the right pleural thickening.The patient underwent CT-guided pleural biopsy under a diagnosis of malignant pleural mesothelioma, and the specimen was diagnosed as poorly differentiated adenocarcinoma on the basis of histochemical staining. At the same time, a tumor appeared in his right submandibular region, and the aspiration cytology of the tumor was similar to the pleural tumor.The patient underwent panpleuropneumonectomy with combined resection of the submandibular tumor, and the histological examinations of both submandibular and pleural lesions revealed adenoid cystic carcinoma.

収録刊行物

  • 肺癌

    肺癌 35 (4), 445-452, 1995

    特定非営利活動法人 日本肺癌学会

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