A Case of Multidomain Integrated Treatment Strategy for Complex Primary Pulmonary Sarcomatoid Carcinoma

VernacularTitle:多域整合治疗复杂原发性肺肉瘤样癌1例
Author: HUO XIAOSEN ¹ ; ZOU HANG ; DONG YANYAN ; LI YUAN ; BIAN LINGJIE ; LI LEI ; WANG HONGWU
Author Information

1. 101121 北京,北京中医药大学东直门医院呼吸病中心
Keywords: Pulmonary sarcomatoid carcinoma; Lung neoplasms; Central airway stenosis
From: Chinese Journal of Lung Cancer 2024;27(2):157-160
CountryChina
Language:Chinese
Abstract: Pulmonary sarcomatoid carcinoma(PSC)is a rare and highly malignant tumor,which includes the follow-ing five pathologic types:pleomorphic carcinoma,spindle cell carcinoma,giant cell carcinoma,carcinosarcoma and pulmonary blastoma.The onset of PSC is occult with non-specific clinical symptoms and signs.The clinical manifestations include irritat-ing cough,bloody sputum,dyspnea,chest pain and so on,which are closely related to the growth and invasion site of the tumor.PSC tends to metastasize early,so most patients are already in local advanced stage or advanced stage with a median survival of 9 months at the time of hospital visit.A patient with primary PSC which led to 90%stenosis in central airway was treated by com-bined method of vascular and tracheoscopic intervention in our respiratory center.This treatment prolonged the patient's survival time and got a satisfactory effect at 19-month follow-up after surgery.Herein we report the case for clinical reference.