Bilan pré-thérapeutique

Les principes du bilan pré-thérapeutique sont les mêmes que pour les autres carcinomes bronchiques non à petites cellules. Il existe un hypermétabolisme élevé en tomographie par émission de positons au F18-déoxyglucose. Les métastases de localisation inhabituelle sont fréquentes (1,4,17–19,32). Cet hypermétabolisme serait plus intense en cas de carcinome pléomorphe (33–35)

 

Références

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18. Chang YL, Lee YC, Shih JY, Wu CT. Pulmonary pleomorphic (spindle) cell carcinoma: peculiar clinicopathologic manifestations different from ordinary non-small cell carcinoma. Lung Cancer Amst Neth. 2001 Oct;34(1):91–7.

19. Cabarcos A, Gomez Dorronsoro M, Lobo Beristain JL. Pulmonary carcinosarcoma: a case study and review of the literature. Br J Dis Chest. 1985 Jan;79(1):83–94.

32. Shi B, Gaebelein G, Hildebrandt B, Weichert W, Glanemann M. Adult jejunojejunal intussusception caused by metastasized pleomorphic carcinoma of the lung: report of a case. Surg Today. 2009;39(11):984–9.

33. Ito K, Oizumi S, Fukumoto S, Harada M, Ishida T, Fujita Y, et al. Clinical characteristics of pleomorphic carcinoma of the lung. Lung Cancer Amst Neth. 2010 May;68(2):204–10.

34. Cheran SK, Nielsen ND, Patz EF. False-negative findings for primary lung tumors on FDG positron emission tomography: staging and prognostic implications. AJR Am J Roentgenol. 2004 May;182(5):1129–32.

35. Park JS, Lee Y, Han J, Kim HK, Choi YS, Kim J, et al. Clinicopathologic outcomes of curative resection for sarcomatoid carcinoma of the lung. Oncology. 2011;81(3–4):206–13.