肺原发性平滑肌肉瘤(附2例报告及文献复习)  

Primary leiomyosarcoma of the lung with a report of two cases and review of literatures

作　　者：张合林[1] 白世祥[1] 杜喜群[1] 王瑞[1] 李保庆[1] 王新[2] 

机构地区：[1]河北医学院第四医院,050011 [2]河北省医学科学院附属医院

出　　处：《综合临床医学》1996年第2期86-87,共2页

摘　　要：肺原发性平滑肌肉瘤是一种罕见的恶性肿瘤.本文分析了国内报告的31例和2例新病例.33例中男性20例,女性13例,年龄10～59岁.主要临床症状有咳嗽(21/29).咯血(17/29)、咳痰(16/29).X线表现为团块型23/28例,肺不张型3例.7例进行支气管镜检查中有5例在支气管腔内发现新生物.肿瘤直径在1.5～20.0cm之间.切面呈灰色,瘤组织大多较硬.作者结合文献对本病的诊断和治疗进行了讨论.Primary leiomyosarcoma of the lung is a rare malignant tumor. Reported 31 cases in the internal literatures and two new cases were analyzed. Of the 33 cases,there were 20 males and 13 females, with the range of age from 10 to 59 years. Cough (21/29), hemoptysis (17/29) and sputum (16/29) were the main clinical symptoms. A mass in the lung was found by x-ray in 23 of the 28 cases and atelectasis three cases. Five of the seven patients were confirmed tumor with 1.5 to 20 cm in diameter in the bronchial tree by bronchoscopy,which the tumor cross-section was grey or white and hard. It was discussed that the diagnosis and treatment of the disease on the basis of the literature reviews.

关 键 词：肺肿瘤 平滑肌肉瘤 诊断 治疗 

分 类 号：R734.2[医药卫生—肿瘤]