肺癌中细支气管肺泡癌构成比的变化分析  

Vicissitudes of bronchioloalveolar carcinoma as a percentage of all lung cancer

作　　者：田庆[1] 韦立新[2] 曹友俊[2] 陈良安[1] 

机构地区：[1]解放军总医院呼吸内科,北京100853 [2]解放军总医院病理科,北京100853

出　　处：《中华肿瘤防治杂志》2007年第7期497-499,共3页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的探讨细支气管肺泡癌（bronchio-loalveolar carcinoma,BAC）在肺癌中构成比的变迁。方法收集肿瘤患者4706例的年龄、性别及病理学诊断等数据,分析肺癌患者年确诊病例数的变化、BAC病例数、占腺癌病例数百分比及占肺癌病例总数百分比的变化。结果确诊肺癌病例数由1996年的329例上升至2005年的581例,呈明显的增多趋势;1996～2005年每年确诊BAC病例数为16～89例。1996～2005年,BAC病例总数占腺癌病例总数的30.6%（475/1552）,BAC占腺癌病例数百分比随时间无明显变化,χ^2=0.40,P=0.5278;BAC病例数占所有肺癌病例总数的10.1%（475/4706）,BAC占所有肺癌病例总数百分比随时间有升高的趋势,χ^2=10.16,P=0.0014。结论BAC的发病率与占肺癌的比例均有所增加;同时,BAC从病理学及临床上看都有与其他肺癌不同的特点,需要得到临床医生的重视。OBJECTIVE：To study the vicissitudes of bronchioloalveolar cancers as a percentage of all lung cancer. METHODS： The data of age, sex and pathologic diagnosis of 4 706 cases of lung cancer with pathologic diagnosis were collected. The absolute number of all lung cancer cases and BAC cases, BAC as a percentage of all lung cancer and adenocarcinoma over ten years period were analyzed retrospectively. RESULTS： The lung cancer cases rose from 329 in 1996 to 581 in 2005. The BAC cases were between 16 and 89 cases per year. Total BAC cases from 1996 to 2005 comprised 30.6% （475/1 552） of adenocarcinoma cases, and the relative percentages of BAC of adenocarcinoma remained stable,X^2= 0.40,P=0.527 8.BAC comprised 10.1%（475/4706）of all type lung cancer ,and the percentages of BAC of all lung cancer had a rising trend ,X^2=10.16,P=0.0014.CONCLUSIONS： the incidence of BAC and BAC as a percentage of all type lung cancer has a rising trend .The unique pathologic and clinical aspects of BAC stimulate new basic and clinical research.

关 键 词：肺癌 细支气管肺泡 肺肿瘤 数据说明 统计 

分 类 号：R734.2[医药卫生—肿瘤]