老年人早期非小细胞肺癌的放射治疗(附45例分析)  

Radiotherapy of non-oat cell lung cancer of old patients: An analysis of 45 cases

作　　者：张炳兴[1] 陈国雄[1] 吴殿久[1] 卞文芳[1] 

机构地区：[1]中国人民解放军进修学院放疗科

出　　处：《军医进修学院学报》1990年第3期227-229,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：本文报道老年人早期非小细胞肺癌45例,年龄60～89岁。肿瘤最大直径1～3cm。手术+放疗20例,单纯手术15例,单纯放疗10例,5年生存率分别为57.1％、66.6％、42.8％。早期肺癌首选手术,根据病情选择性开展术前或术后放疗能减少复发,提高切除率,改善生存质量。对高龄不宜或拒绝手术者,肿瘤高位侵犯主支气管,气管隆突或术后复发的患者,应进行根治性放射治疗。We treated 45 cases of non-oat cell lung cancer between 1970—1986. The ages of the patients were 60—81 years, the maximum diamaters of the cancer were 1—3cm. In 16 cases the tumors located centrally and 29, peripherally. 20 cases were treated by surgery combined with radiotherapy. 15 cases by surgery alone and 10 cases by radiotherapy alone. The 5-year survival rate were 57.1%, 66.6% and 42.8% respectively. It is suggestef that the diagnosis should be establishied as early as possible, by through detailed medical histoey, regular physical examination and sophisticated analysis of chest films. Surgery sould be done first in the early stage of tumor, pre-or postoperation radiotherapy given according to the local-regional situation. Radiotherapy is able to bring down the chance of recurrency, to raise the rate of tumor resection and to improve the quality of life in the survival. The radical radiotherapy should be chosen for the old aged case and the case refusing operation, and also for the case of tracheal or subcarina and recurrent case after operation.

关 键 词：老年人 肺肿瘤 放射治疗 治疗 

分 类 号：R734.2[医药卫生—肿瘤]