关键词: Cardiothoracic surgery Lung cancer (oncology) Pathology Radiology Respiratory medicine

Mesh : Male Adult Humans Sarcoma, Ewing / pathology Lung Abscess / drug therapy Sarcoma / drug therapy Neuroectodermal Tumors, Primitive, Peripheral Chemotherapy, Adjuvant

来  源:   DOI:10.1136/bcr-2023-256631   PDF(Pubmed)

Abstract:
Intrathoracic extraskeletal Ewing\'s sarcoma (EES) is a relatively uncommon malignant tumour. Here, we present a scenario involving an adult man in his 20s with a large intrathoracic EES that manifested as a lung abscess. Preoperative diagnostic tests were inconclusive; hence, the patient underwent an exploratory thoracotomy for the excision of the mass. Histopathology revealed a small round blue cell tumour, and immunohistochemistry, along with fluorescence in situ hybridisation, confirmed the diagnosis of Ewing\'s sarcoma. Adjuvant chemoradiotherapy was recommended, but the patient did not comply. A year later, he presented with a recurrence of the intrathoracic mass and subsequently received adjuvant chemotherapy. Currently, he is in remission.
摘要:
胸内骨外尤因肉瘤(EES)是一种相对罕见的恶性肿瘤。这里,我们介绍了一个涉及一名20多岁的成年男子的情况,他有一个大的胸内EES,表现为肺脓肿.术前诊断测试尚无定论;因此,患者接受了开胸探查术切除肿块.组织病理学显示一个小的圆形蓝色细胞肿瘤,和免疫组织化学,随着荧光原位杂交,确诊为尤因肉瘤.建议辅助放化疗,但患者没有遵守。一年后,患者出现胸内包块复发,随后接受了辅助化疗.目前,他正在缓解。
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