青年人肺癌的临床及病理特征  

Clinical and Pathological Characteristics of Lung Cancer in Young Adults

作　　者：田进涛[1] 胡鸿藻[1] 陈志强[1] 宋小平[1] 杨盛[1] 

机构地区：[1]北京酒仙桥医院胸外科,北京市100016

出　　处：《中国厂矿医学》2003年第2期93-94,共2页Chinese Medicine of Factory and Mine

摘　　要：目的:探讨青年人肺癌的临床及病理特征。方法:对17例经外科手术切除的青年人肺癌的临床资料进行回顾性分析,并结合文献加以讨论。17例中男12例,女5例,占同期手术治疗肺癌患者的13.39％(17/127);年龄26-40岁;主要症状为咳嗽、咯血、发热和胸痛,4例患者无任何症状。肿瘤位于左胸8例。右胸9例;中心型肺癌8例,周围型肺癌9例。8例术前误诊为其它疾病,误诊率47.06％。结果:全组病例均行手术切除,无围术期死亡及严重并发症。病理结果为腺癌7例(41.17％),鳞癌6例(35.29％),小细胞癌4例(23.53％),无大细胞癌。腺癌、鳞癌及小细胞癌的淋巴结转移率分别为85.71％、33.33％及75.00％。结论:青年人肺癌误诊率高,外侵严重,淋巴结转移率高,预后差;病理类型主要以腺癌为主,分化程度低。Objective: To evaluate the clinical and pathological characteristics of lung cancer in patients under 40 years of age. Method: The clinical data of 17 adolescent patients with lung cancer were retrospectively studied and other reported studies were reviewed. Results:All cases were surgically resected. No death and severe complications was observed during the perioperative period. By pathology,41. 17% were adenocarcinoma,35. 29% were squamous carcinoma and 23.53% small cell carcinoma. The lymph node metastasis rates for adenocarcinoma,squamous carcinoma and small cell carcinoma were 85.71% ,33.33% and 75.00% ,respectively. Conclusion: Adolescent lung cancer is an independent entity with massive invasiveness, high lymph node metastasis and poor prognosis. The most common pathological type is adenocarcinoma.

关 键 词：青年人 肺癌 外科 病理 并发症 

分 类 号：R734.2[医药卫生—肿瘤]