鼻咽癌病毒 也會致肺癌NPC will also induced lung cancer virus

鼻咽癌病毒 也會致肺癌 【施靜茹】鼻咽癌患者身上常見的第四型人類 疹病毒（EB病毒），竟也會導致肺癌，台北榮民總醫院胸腔腫瘤科醫師已發現病例，並將其發表在醫學期刊。 台北榮民總醫院胸腔腫瘤科主任蔡俊明說，一名51歲男性來就診，患者做健康檢查照胸部X光，發現右下肺葉疑似長了腫瘤，進一步做電腦斷層後確診，特別的是，患者只有輕微的糖尿病，而且不吸菸，過去也沒有發生嚴重疾病。 這名男性的肺腫瘤沒有遠處轉移，醫院趕緊為他安排手術切除，病理切片結果，確定為原發性類淋巴上皮癌，屬於肺癌的一種，醫師進一步在患者的腫瘤組織裡，找到了第四型人類 疹病毒。 蔡俊明說，肺癌大致分為肺小細胞癌和非小細胞肺癌，後者又分肺鱗狀細胞癌、肺腺癌、肺大細胸癌等三種，原發性類淋巴上皮癌較不常見，世界衛生組織在1982年公布的肺癌分類上，仍未將此一腫瘤列入。 蔡俊明表示，第四型人類 疹病毒常見中國南方及台灣病患身上，特別是鼻咽癌患者，但在肺癌患者身上發現，的確不尋常，已將此病例發表在「胸腔醫學」期刊。 該期刊四年前也曾接受另一名醫師投稿，報告一名46歲女性，偶爾會咳血已超過一年，檢查發現她左下肺葉有腫瘤，後來一樣接受手術切除治療。 蔡俊明指出，原發性類淋巴上皮癌患者，大多透過開刀才確診，由於它沒那麼惡性，五年存活率比一般肺癌好，復發率低，患者接受化療的效果也不錯。 長期吸菸或吸入有害氣體，都可能造成肺癌，也有人是因為本身有致癌基因的遺傳，或免疫系統較弱，年過四十歲的人，最好每年接受一次胸部X光檢查。 2008-09-10 NPC will also induced lung cancer virus [Shi Jing-Ru was common in patients with nasopharyngeal cancer - the fourth-human measles virus (EB virus), has also lead to lung cancer, Taipei Veterans General Hospital thoracic oncology physicians have found cases, and published in medical journals. Taipei Veterans General Hospital, director of thoracic oncology Chun-Ming Tsai, a 51-year-old male to medical, health checks as do patients with chest X-ray, found the right lower lobe of the suspected tumor, and further CT scan done after the diagnosis, in particular that the Only patients with mild diabetes, and non-smokers, there was no serious illness over the past also. The men's lung cancer not distant metastasis, the hospital quickly arranged for his removal, pathology biopsy results, identified as primary category lymph cell carcinoma, a kind of lung cancer, doctors further in patients with tumors, found the first Four of human measles virus. Chun-Ming Tsai said that lung cancer is broadly divided into small cell lung cancer and non-small cell lung cancer, which in turn sub-squamous cell lung cancer, lung cancer, lung cancer, three small chest, the primary category lymph cell carcinoma less common, The World Health Organization announced in the 1982 classification of lung cancer, the tumor has not yet included in this one. Chun-Ming Tsai said that fourth-human measles virus common in southern China and Taiwan on patients, especially patients with nasopharyngeal carcinoma, but was found in patients with lung cancer, it is not unusual, this case has been published in the "medicine chest" Series. The journals have accepted four years ago, another doctor articles, reports a 46-year-old female, occasionally hemoptysis has more than a year, inspection revealed that she has left lower lobe tumor, and later the same surgery for the treatment. Chun-Ming Tsai pointed out that the primary category lymph cell carcinoma patients, most diagnosed only through surgery, because it not as vicious, five-year survival rate of lung cancer than the general good, the low rate of relapse, patients undergoing chemotherapy effect is not bad. Long-term smoking or inhalation of harmful gases may cause lung cancer, it was also because of its own genetic cancer gene, or weak immune system, in a 40-year-old, the best annual accept a chest X-rays. 2008-09-10 For more information, see World Journal News ePaper

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