没敢考虑，还是考虑恶性。神经内分泌癌可能性大。 
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| 名称： | |
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- 左肺肿块空心粗针活检(肺部恶黑，极其罕见)
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| 姓 名： | ××× | 性别： | 男 | 年龄： | 62岁 |
| 标本名称： | 左肺肿块穿刺活检 | ||||
| 简要病史： | 主诉咳嗽，时有胸痛。CT示左肺下叶肿块约4cm，右肺门见结节影2.5cm。 | ||||
| 肉眼检查： | 空心针活检组织2条，长0.5cm。 | ||||
图1 2009年CT检查
图2 2010年4月复查
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图4 X50
图5 X200
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本帖最后由 于 2010-06-29 13:37:00 编辑
- 王军臣
×参考诊断
肺原发恶黑
肺原发恶黑罕见，复习文献
Primary malignant melanoma of the lung with rapid progression
| 期刊 | General Thoracic and Cardiovascular Surgery | ||||||
| 出版社 | Springer Japan | ||||||
| ISSN | 1863-6705 (Print) 1863-6713 (Online) | ||||||
| 期 | Volume 57, Number 12 / 2009年12月 | ||||||
| 文章类型 | Case Report | ||||||
| DOI | 10.1007/s11748-009-0454-9 | ||||||
| 页 | 671-674 | ||||||
| 学科分类 | 医学 | ||||||
| SpringerLink Date |
2009年12月15日 Ryo Maeda1
Received: 24 January 2009 Accepted: 6 April 2009 Published online: 15 December 2009 Abstract This report presents a case of primary malignant melanoma of the lung with rapid progression in a 68-year-old man. During a regular checkup, a chest roentgenogram revealed an abnormal shadow in the left lower lung field. Computed tomography (CT) of the chest revealed an ill-defined tumor shadow measuring 4 × 3 cm in the left upper lobe. A CT-guided lung biopsy suggested a large-cell carcinoma, and left upper lobectomy was performed. Histopathologically, the tumor was comprised of malignant epithelial tumor cells with large amounts of acidophilic cytoplasm and prominent nuclei. A dark brown pigment was observed in the tumor cells. Immunohistochemical staining was positive for S-100 protein and HMB45; staining for cytokeratin, CAM5.2, and chromogranin was negative. The final diagnosis was malignant melanoma of the lung. Two months later, multiple brain metastases developed, and he died of the disease 6 months after the surgery. |
- 广州金域病理
