小细胞肺癌鼻咽转移的诊治探讨(附1例报告)
DIAGNOSIS AND TREATMENT OF SMALL-CELL LUNG CANCER WITH NASOPHARYNGEAL METASTASIS: A CASE REPORT
张娜 1梁军 2刘自民1
作者信息
- 1. 青岛大学附属医院肿瘤科,山东青岛266003
- 2. 北京大学国际医院
- 折叠
摘要
目的 探讨小细胞肺癌鼻咽转移病人的诊断及相关治疗策略.方法 收集1例39岁小细胞肺癌鼻咽转移病人的临床资料,对其治疗及预后进行分析.结果 病人经过CT检查、肺组织穿刺活检病理确诊,给予8周期依托泊苷+顺铂方案化疗与肺部、鼻咽部适形放疗交替治疗后,咳嗽、鼻塞症状较前减轻,无鼻涕带血,总体疗效评价为部分缓解.随访至今病人健在,肿瘤无复发.结论 小细胞肺癌鼻咽转移病人经过放化疗结合治疗后,可以达到临床部分缓解的状态.
Abstract
Objective To investigate the strategies for the diagnosis and treatment of small-cell lung cancer with nasopharyngeal metastasis.Methods A 39-year-old male with small-cell lung cancer with nasopharyngeal metastasis confirmed by computed tomography and lung biopsy was enrolled,and was given 8 cycles of etoposide+cisplatin (EP) chemotherapy combined with conformal radiotherapy for the lung and nasopharynx,and then the clinical data were collected to evaluate his clinical outcome.Resnlts After 8 cycles of EP chemotherapy combined with conformal radiotherapy for the lung and nasopharynx,the patient showed significantly reduced cough and nasal congestion,had no bloody nose,and achieved partial response (PR).The patient is alive now,without recurrence.Conclusion The patient with small-cell lung cancer with nasopharyngeal metastasis can achieve PR after a combination of chemotherapy and radiotherapy.
关键词
小细胞肺癌/肿瘤转移/鼻咽肿瘤Key words
small cell lung carcinoma/neoplasm metastasis/nasopharyngeal neoplasms引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据