肺部恶性肿瘤的肺移植治疗  

Lung transplantation for lung cancer

作　　者：苏奕亮[1] 刘小刚 戴洁[1] 姜格宁[1] Su Yiliang;Liu Xiaogang;Dai Jie;Jiang Gening(Lung Transplantation Center,Shanghai Pulmonary Hospital,Tongji University School of Medicine,Shanghai 200433,China)

机构地区：[1]同济大学附属上海市肺科医院肺移植中心,200433

出　　处：《中华胸心血管外科杂志》2020年第4期241-244,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：肺移植是治疗许多终末期肺部疾病的有效方法,肺部恶性肿瘤长期以来被认为是肺移植的禁忌证,目前多发病灶弥漫性腺癌已被纳入肺移植适应证。在针对慢性终末期肺部疾病的肺移植术前,应全面检查排除恶性肿瘤。如肺移植术中在摘除肺中意外发现恶性肿瘤,应仔细分期,评估患者预后。肺转移性肿瘤的肺移植仅有少量个案报道,目前不适合临床开展。Lung transplantation is an effective treatment for many end-stage lung diseases.Lung cancer was considered to be a contraindication of lung transplantation for a long time.However,multifocal diffuse adenocarcinoma has been indicated for lung transplantation nowadays.In the preoperative course of lung transplantation for chronic end-stage lung diseases,patients should be examined thoroughly to exclude malignant tumors.If malignant tumors were incidentally found in recipient's explanted lung,a careful evaluation of tumor stage and the prognosis of recipient is needed.Lung transplantations for metastatic lung tumors have only been reported in a few case reports,limiting the application of transplantation in current clinical practice.

关 键 词：肺移植 个案报道 肺部恶性肿瘤 多发病灶 禁忌证 肺转移性肿瘤 肺部疾病 意外发现 

分 类 号：R734.2[医药卫生—肿瘤]