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癌肉瘤是一种罕见的恶性肿瘤,临床上报道常见于子宫,其次为乳腺,鼻咽部,食管和肺部,肺癌肉瘤则更为罕见。本病 Kika 于1908年首次报道,至1951年 Bergmann 及其同事汇集文献7例系统复习,并报道2例施行肺切除治疗获得成功。1985年 Cabarcos 等收集世界文献自1908—1985年肺癌肉瘤49例并作一复习。国内多年来仅见数例报道。我院于1987年遇一例,经先后两次手术治疗,手术标本作详细的病理检查,并行免疫组织化学检验,为罕见的肺癌肉瘤(腺癌—纤维肉瘤),现作一报道,并加以讨论。
Carcinosarcoma is a rare malignant tumor that is reported clinically in the uterus, followed by the breast, nasopharynx, esophagus, and lung. Lung cancer sarcoma is even rarer. The disease was first reported by Kika in 1908. By 1951, Bergmann and his colleagues compiled a systematic review of 7 cases and reported the success of 2 cases of lung resection. In 1985, Cabarcos et al. collected 49 cases of lung sarcoma from 1908 to 1985 and reviewed it. Over the years, only a few cases have been reported in the country. Our hospital met one case in 1987. After two surgical operations, the surgical specimens were used for detailed pathological examination and parallel immunohistochemical tests. A rare lung cancer sarcoma (adenocarcinoma-fibrosarcoma) was reported and discussed. .