60例肺大细胞癌的临床分析  

Retrospective analysis of 60 cases with large cell lung carcinoma

作　　者：胡涛[1] 卢玉润[1] 

机构地区：[1]四川省医学科学院.四川省人民医院,四川成都610072

出　　处：《西部医学》2012年第3期557-558,共2页Medical Journal of West China

摘　　要：目的总结肺大细胞癌的临床特点。方法回顾性分析经开胸手术或胸腔镜病理证实的60例肺大细胞癌患者的临床资料。结果 60例患者中男性53例,女性7例;咳嗽伴咯血18例,咳嗽伴胸痛11例,体检发现11例,CT检查57例肿块为周围型,右上叶17例,右下叶14例,左上叶12例,左下叶9例;直径<5cm 8例,直径5～10cm 49例。3例CT为双肺弥漫分布大小不等结节。术前14例支气管镜活检疑为鳞癌6例,腺癌1例。结论肺大细胞癌的临床表现无特异性,肺CT表现具有多样性,如能做肺大细胞癌的亚型诊断,就可使不同医疗机构之间的治疗和研究结果具有可比性。Objective To analyze the clinical characteristics of Large cell lung carcinoma（LCLC）.Methods The clinical data of 60 patients with LCLC were diangnosed through thoracic surgery or VATS in Sichuan academy of medicine.All data were retrospectively analysed.Results Of 60 cases,53 patients were men,7 patients were women.Patients with cough and hemoptysis were 18,cough and chest pain were 11,11 patients were found through health examination.Of 60 cases in CT scan,57 masses were peripheral.17 masses were located in the right upper lobes.14 masses were located in the right lower lobes.12 masses were located in the left upper lobes.9 masses were located in the left lower lobes.The diameters less than 5cm were 8.The diameters between 5~10cm were 49.In 14 patients with bronchoscopy biopsy before surgery,6 masses were diagnosed Squamous carcinoma,1 mass was diagnosed Adenocarcinoma.Conclusion The clinical features of LCLC were nonspecific.The CT scannings were various.If the subtypes of LCLC can be diagnosed,the treatment and reseaching results from different medical institutions could be compared.

关 键 词：肺 大细胞癌 亚型诊断 

分 类 号：R734.2[医药卫生—肿瘤]