Well-differentiated fetal adenocarcinoma of lung

被引:18
作者
Fujino, S
Asada, Y
Konishi, T
Asakura, S
Kato, H
Mori, A
机构
[1] The Second Department of Surgery, Shiga University of Medical Science, Seta, Otsu, Shiga
关键词
pulmonary blastoma; well-differentiated fetal adenocarcinoma; biphasic blastoma;
D O I
10.1016/0169-5002(95)00489-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Well-differentiated fetal adenocarcinoma (WDFA) histologically resembles pulmonary blastoma, and is thought to be a subtype of pulmonary blastoma which has differentiated epithelial features resembling the fetal lung among its epithelial features and sarcomatous features. We recently encountered one patient who underwent surgery for WDFA. This case is reported with a discussion of the literature. A 33-year-old woman had a tumor shadow in the lower lobe of the right lung, The tumor was diagnosed as pulmonary blastoma as a result of echographic biopsy, and right total pneumonectomy was performed. No sarcomatous features were observed on postoperative histological assessment, and the patient was diagnosed as having WDFA. Its prognosis is believed to tend to be better than that of biphasic blastoma, in which sarcomatous features are mingled with epithelial features. However, it is reported that chemotherapy or radiotherapy has seldom been effective. Complete surgical resection is essential for long-term survival.
引用
收藏
页码:311 / 316
页数:6
相关论文
共 15 条
[1]  
AMEMIYA R, 1977, JPN J CANCER CLIN, V23, P123
[2]   EMBRYOMA OF LUNG [J].
BARNARD, WG .
THORAX, 1952, 7 (04) :299-301
[3]  
Barnett N, 1945, BRIT J SURG, V32, P447
[4]  
Francis D, 1983, Curr Top Pathol, V73, P265
[5]   6 CASES OF WELL-DIFFERENTIATED ADENOCARCINOMA SIMULATING FETAL LUNG TUBULES IN PSEUDOGLANDULAR STAGE - COMPARISON WITH PULMONARY BLASTOMA [J].
KODAMA, T ;
SHIMOSATO, Y ;
WATANABE, S ;
KOIDE, T ;
NARUKE, T ;
SHIMASE, J .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1984, 8 (10) :735-744
[6]  
KOSS MN, 1991, CANCER, V67, P2368, DOI 10.1002/1097-0142(19910501)67:9<2368::AID-CNCR2820670926>3.0.CO
[7]  
2-G
[8]   PULMONARY BLASTOMA WITH ARGYROPHIL CELLS AND LACKING SARCOMATOUS FEATURES (PULMONARY ENDODERMAL TUMOR RESEMBLING FETAL LUNG) [J].
KRADIN, RL ;
YOUNG, RH ;
DICKERSIN, GR ;
KIRKHAM, SE ;
MARK, EJ .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1982, 6 (02) :165-172
[9]  
MCCANN MP, 1976, CANCER, V38, P789, DOI 10.1002/1097-0142(197608)38:2<789::AID-CNCR2820380222>3.0.CO
[10]  
2-3