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首页> 外文期刊>Case Reports in Surgery >Metastatic Adenocarcinoma of the Lung Presenting as a Soft Tissue Mass
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Metastatic Adenocarcinoma of the Lung Presenting as a Soft Tissue Mass

机译：作为软组织块的肺部转移性腺癌

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Lung cancer is the leading cause of cancer death in the United States, with more than 230,000 new cases, and approximately 150,000 deaths estimated for 2018. Lung cancer most commonly metastasizes to the brain, liver, lungs, bone, and adrenal system; however, there have been several cases of spread to soft tissues, with an incidence rate of approximately 0.75-9%. The objective of this case report is to highlight an unusual presentation of metastatic adenocarcinoma of the lung. In this case report, patient presented with a ?cm soft tissue mass on the back. The mass was slowly growing but had become more painful and wished to have it excised. Preoperatively, the mass was suspected to be a sebaceous cyst but intraoperatively had deep attachments and other suspicious findings. Pathology had a positive immunoprofile for metastatic adenocarcinoma favoring a lung primary. Given this presentation of metastases, the prognosis is poor with a survival time decreasing to around 5 months. Overall, this case reinforces the importance of sending all soft tissue masses for final pathology with accurate labeling and the importance of immunohistochemical testing in aiding the identification of the primary.
机译：肺癌是美国癌症死亡的主要原因，2018年估计了超过230,000例的新病例，约有150,000人死亡。肺癌最常转移到大脑，肝，肺，骨和肾上腺系统;然而，有几种涂布到软组织的情况，发生率约为0.75-9％。本案报告的目的是突出肺部转移性腺癌的异常呈现。在本例报告中，患者在背面呈现出一个？CM软组织块。质量慢慢增长，但已经变得更加痛苦，并希望被切除。术前，肿块被怀疑是一种皮脂腺囊肿，但术中具有深厚的附着物和其他可疑结果。病理学对肺部原发性的转移性腺癌具有阳性免疫力量。鉴于这种转移呈现，预后差，生存时间减少到大约5个月。总的来说，这种情况强化了将所有软组织群体发送到最终病理的重要性，以准确的标记和免疫组化测试在辅助识别中的鉴定时的重要性。

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