直径≤10mm的小肺癌33例外科治疗体会  

33 cases report of surgical treatment for lung cancer with diameter less than 10 mm

作　　者：李浩[1] 崔永[1] 王志成[1] 

机构地区：[1]首都医科大学附属北京友谊医院胸外科,北京100050

出　　处：《中华肿瘤防治杂志》2011年第9期722-723,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨小肺癌的临床特点及手术治疗,提高肺癌早期诊断水平,回顾性分析手术治疗最大直径≤10 mm的33例小肺癌患者的临床资料,总结外科治疗体会。结果无1例术前明确诊断,术中冷冻良恶性确诊率100%。腺癌19例,肺泡癌8例,鳞癌5例,小细胞癌1例。病理分期T1N0M024例,T2N0M05例,T1N0M03例,T2N0M01例。初步研究结果提示,≤10 mm的小肺癌病变进展慢,以腺癌和肺泡癌为主,临床及影像特征不明显,术中冷冻是可靠的诊断方法,手术方式以肺叶切除+淋巴结廓清为宜,纵隔淋巴结转移较少见。The objective of this study was to discuss the clinical characteristics and surgical treatment of small lung cancer, and improve the level of early diagnosis. Retrospectively analyzed 33 cases of small lung cancer less than 10 mm in diameter, which underwent operation. None was diagnosed definitely before operation. All the cases got correct diagnosis between benign and malignant by frozen section during operation. 19 cases were Adenocarcinoma, 8 cases were bronchioloalveolar carcinoma, 5 cases were squamous carcinoma, and one was small cell lung cancer. Twenty-four cases were T1 No M0 , 5 cases were T2 N0 M0 , 3 cases were T1 N0 M0 , one was T2 N0 M0. In conclusions, small lung cancer is progressed slowly,the most pathological types are denocarcinoma and bronchioloalveolar carcinoma, the characteristics of clinic and imaging are not typical. The frozen section during operation is reliable method for diagnosis. The mode of operation should be pulmonary Lobectomy and lymph node dissection. The metastasis of mediastinal lymph node is uncommon.

关 键 词：肺肿瘤/外科学 癌 小细胞/外科学 治疗 预后 

分 类 号：R734.2[医药卫生—肿瘤]