青壮年肺癌特点及外科治疗  

Characteristic Features of Lung Carcinoma and Its Surgical Treatment in Young Adults

作　　者：寿化山[1] 杨鲲鹏[1] 苏振邦[1] 孙广平[1] 

机构地区：[1]河南医科大学第二附属医院胸外科,中山医科大学第三附属医院胸外科

出　　处：《中华胸心血管外科杂志》1994年第4期324-325,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：９８２例肺癌病人中有４０岁以下者８０例，占全年龄组的８．１５％，误诊率７０％。小细胞肺癌居多占３８．７５％。咳嗽、血痰、胸疼为常见症状。有吸烟史者４５例中鳞癌和小细胞癌占３２例。Ｘ线表现有肺部或肺门肿块、肺不张、空洞等，以肺部肿块影较多占４３％。肿瘤位于左肺４２例，右肺３８例；周围型４１例，中心型３９例。Ⅲ期者５０％。多误诊为肺结核、肺炎、炎性假瘤、肺脓肿。共切除６４例，根治性切除４２例，姑息性２２例；全肺切除２６例，肺叶切除３８例。术后１、３、５、７年生存率分别为７８％、３９％、３５．１％、２１％。并对流行病学、诊断及治疗问题进行了讨论。This article reports 982 patients with lung cancer.The patient's age was under 40 years in 80 cases (8.2%.)In this group of patients,the misdiagnosis rate was 71.2%,and the incidence of small cell carcinoma amounted to 38.7%.The common symptoms were cough,bloody sputum,chest pain and so on.Thirty-two out of 45 patients with smoking history suffered from squamous cell or small cell carcinoma.The roentgenographic manifestations showed mass shadow in the hilum or in the pulmonary field,atelectasis and pulmonary cavity.Pulmonary parenchymal mass was present in 43%.This distribution of the lung cancer was on the left side in 42 patients and right side in 38,peripheral region in 41 and central in 38.Fifty percent of them were in stage Ⅲ.Many of these patients were misdiagnosed as tuberculosis,pneumonia,inflammatory pseudotumor or pulmonary abscess.64 patients underwent resectional surgery including pneumonectomy in 26 and lobectomy in 38.The procedure was curative in 42 and palliative in 22.Respective l-year,3-year,5-year and 7-year survival rates Were 78%,39%,35.1%,and 21%.Epidemiology,some issues of diagnosis and treatment were discussed in detail in the paper.

关 键 词：青壮年 癌 肺肿瘤 外科手术 

分 类 号：R734.205[医药卫生—肿瘤] R655.3[医药卫生—临床医学]