Abstract
症例は59才の男性. 胸部異常陰影を主訴として入院し, 扁平上皮癌と診断して手術を行ったが, 胸膜播種のために試験開胸に終わった.化学療法も効果なく死亡したが, 死亡前の. 血清中β-hCG値が90.4ng/mlと高値を示した.剖検で肺に絨毛癌の成分を伴う扁平上皮癌を認め, 肝, 膵, 腎に絨毛癌の転移を認めた.他に原発と思われる病巣がないため肺原発と診断した. 肺原発の絨毛癌は稀で, 若干の文献的考察を加えて報告した.
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