切除１５年後に子宮および子宮付属器への転移をきたした肺腺癌の１例

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  • A Case of Lung Adenocarcinoma Metastasis to the Uterus and Uterine Appendages 15 Years After Partial Resection of the Lung.

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Background. Lung adenocarcinoma metastasis to the uterus and uterine appendages is rare. Case. Right middle lobectomy for a lung adenocarcinoma was performed in a 52-year-old woman. In 1995, she underwent intralesional chemotherapy, because of recurrence in the right pleura. During follow-up, she was reported in 1999 to have the right axillary lymph node enlargement, which was found to be metastasis of the adenocarcinoma. On immunohistochemical examination, the specimen showed staining positive for surfactant apoprotein-A. We performed resection of uterus and its appendages, suggesting ovarian tumor. Resected uterus and its appendages showed widespread metastasis and the tumor cells showed positive staining for surfactant apoprotein-A. The primary lung tumor resected 15 years previously was also found to be positive for surfactant protein. Conclusion. We concluded that the tumor of the uterus and its appendages was metastasis from the primary lung adenocarcinoma resected 15 years previously.

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  • 肺癌

    肺癌 42 (4), 293-297, 2002

    特定非営利活動法人 日本肺癌学会

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