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作 者:汪涛[1] 任华[1] 李泽坚[1] 孙成孚[1] 徐乐天[1]
出 处:《中国医学科学院学报》1994年第6期453-456,共4页Acta Academiae Medicinae Sinicae
摘 要:本文报告<40岁青年人肺癌67例,其中小细胞肺癌占43.3%、腺癌37.3%。手术治疗28例,非手术治疗35例。作者就青年人肺癌临床及病理特点、手术治疗和非手术治疗效果进行了讨论,认为青年人肺癌之所以病情进展快,恶性度高,与小细胞为主有关。早期应用纤维支气管镜和痰瘤细胞学检查有助于早期诊断,尽早手术治疗可取得与中老年患者相似的治疗效果。建议青年人肺癌术后采用辅助化疗、放疗。From January 1970 to December 1990,67 patients with lung cancer aged younger than 40 years,were treated in the PUMC Hospital.There were 43.3% with SCLC and 37.3% with adenocarcinoma.Twenty-eight patients underwent resection of the lung. Thirty-five cases received chemotherapy or radiotherapy only.The clinical and pathological characteristics of lung cancer in youth,and the influence of surgical and non-surgical treatments to the patients with lung cancer are discussed.The authors consider that the bronchoscopic and sputum smear examinations are very helpful for diagnosing lung cancer in the early stage.Postoperative adjuvant chemo-and radio-therapy is suggested because of the high incidence of SCLC and adenocarcinoma in the young patients with lung cancer.
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