外科手术在Ⅲ_A期非小细胞肺癌治疗中的作用  

The Role of Surgery in the Treatment of Stage Ⅲ_A Non-small-cell Lung Cancer

作　　者：姜远瞩[1] 杜贾军[1] 孟龙[1] 刘奇[1] 

机构地区：[1]山东大学山东省立医院胸外科,山东济南250021

出　　处：《医学与哲学（B）》2008年第8期48-49,共2页Medicine & Philosophy(B)

摘　　要：ⅢA期非小细胞肺癌治疗方式存在争议,对于N1期患者,外科手术被广泛接受,对于N2期患者,国内外存在一定的分歧。对于N2期患者,外科手术治疗的效果主要取决于纵隔淋巴结转移情况,微灶转移和单站淋巴结转移患者,外科手术治疗效果比较满意,多站淋巴结转移患者外科手术治疗效果较差,而是需要做行根治性的放化疗。The therapy of Stage ⅢA non--small--cell lung cancer is controversial. Surgery is widely used for N1 disease. There are some differences at home and abroad about N2 disease. Surgery is used as part of a multimodality approach for N2 disease and the impact of surgery is mainly determined by the bulk of the mediastinal lymph node involvement. For patients with micrometastatic disease and single--station nodal involvement, surgery appears to play a significant role in their treatment, and patients with bulky muhistation disease are frequently not amenable to surgery and may be best approached with definitive chemotherapy and radiation.

关 键 词：外科手术 非小细胞肺癌 治疗 

分 类 号：R734.2[医药卫生—肿瘤]