女性肺癌320例临床资料分析  

Clinical analysis of 320 female lung cancer patients

作　　者：吴万梅[1] 钱红霞[1] 余春兰[2] 肖蓉[1] 白洪芳[1] 王霞[1] 张祖蓉[1] 

机构地区：[1]四川省肿瘤医院,成都610041 [2]德阳市第五人民医院,德阳618000

出　　处：《四川肿瘤防治》2000年第4期220-202,共1页Sichuan Journal of Cancer Control

摘　　要：目的 :探讨女性肺癌临床症状、病理类型特点及其与预后的关系。方法 :收集1988～1998年320例女性肺癌患者资料进行回顾性分析。结果 :女性肺癌中病理类型分别为腺癌48.3 % ,鳞癌16.6% ,小细胞肺癌9.1%。20.1%病人以肺外症状就诊 ,84.5 %的非小细胞肺癌诊断时即为Ⅲ～Ⅳ期。全部病人的5年生存率为5% ,采用包括手术切除在内综合治疗手段病人的5年生存率为14.5 %。结论 :女性肺癌以肺癌转移部位症状为首发症状者 ,易误诊 ;临床资料显示病理类型与预后关系不大 。Objective:To sudy the clinical histories of female lung cancer,including pathological classifications and prognostic factors.Method:The histories of 320 female lung cancer patients treated from 1988 to 1998 were reviewed and analyzed.Results:Among 320 patients analyzed,adenocarcinoma accounted for 48.3%,squamous cell carcinoma 16.6% and SCLC 9.1%;20.1% of the patients had extrathoracic symptoms at initial diagnosis;84.5% of the patients with NSCLC were diagnosed at stage Ⅲ or stage Ⅳ.The overall 5 year survival rate of the 320 female patients was 5% after proper treatments,while the overall 5 year survival rate of those patients adopting combined radiation therapy and/or chemotherapy with operation was 14.5%.Conclusion:Female lung cancer patients were often misdiagnosed due to the first presentation of metastatic symptoms or signs.Our data did not show obvious correlation between histopathology and prognosis.But clinical stages and appropriate treatments for these patients were important prognostic factors.

关 键 词：肺癌 女性 生存率 预后因素 

分 类 号：R734.207[医药卫生—肿瘤]