肺淋巴上皮样癌的诊治  

Diagnosis and Treatment of Lymphoepithelial-like Carcinoma

作　　者：王云[1,2] 胡杨[2] 沈诚[2] 王鑫[2] 周盛川 车国卫[2] 

机构地区：[1]四川大学华西医院胸外科,成都610041 [2]宣汉县人民医院胸外科,四川宣汉636150

出　　处：《中国胸心血管外科临床杂志》2016年第5期472-475,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的探讨肺淋巴上皮样癌（LELC）诊断和治疗的有效性。方法回顾性分析我院2006年1月至2014年12月收治的8例肺淋巴上皮样癌患者的临床资料,其中男4例、女4例,年龄57（48~67）岁。8例患者中,4例行胸腔镜肺叶切除术,4例行常规开胸肺叶切除术。结果胸腔镜手术组平均手术时间为93.75 min,平均住院时间为4.5 d;开胸手术组平均手术时间为106.25 min,平均住院时间为5.25 d。8例患者术后均顺利出院。本研究中有2例患者分别在术后1年内出现脑及对侧肺转移。结论肺LELC采用外科手术治疗效果良好,无法行手术治疗者可考虑采用综合治疗。Objective To investigate the validity of diagnosis and treatment for lymphoepithelial-like carcinoma（LELC）.Methods We retrospectively analyzed the clinical data of 8 LELC patients underwent surgical treatment between January 2008 and December 2014 in our hospital.There were 4 males and 4 females at an average age of 57 years ranging from 48 to 67 years.There were 4 patients underwent thoracoscopic lobectomy and another 4 patients underwent ordinary open-chest lobectomy.Results In the patients underwent thoracoscopic lobectomy,the average operation time was 93.75 minutes and the average time of hospital stay was 4.5 days.In the patients underwent ordinary open-chest lobectomy group,the average operation time was 106.25 minutes and the average time of hospital stay was 5.25 days.All 8 patients discharged.One patient suffered from tumor matastasis in contralateral lung and another suffered from tumor matastasis in brain 1 year after operation.Conclusion The result of surgical treatment for lung LELC is satisfatory.For the patients who are not suitable for surgical treatment,we should consider the comprehensive treatment.

关 键 词：肺淋巴上皮样癌 外科治疗 预后 

分 类 号：R734.2[医药卫生—肿瘤]