33例肺上沟癌的临床特点及放疗疗效  

Analysis of Clinical Features and Effect of Radiotherapy in 33 Patients with Superior Sulcus Lung Carcinoma

作　　者：贺秋冬[1] 杨立[1] 

机构地区：[1]南华大学附属一医院放疗科,湖南衡阳421001

出　　处：《河南肿瘤学杂志》2003年第6期416-417,共2页Henan Journal of Oncology

摘　　要：目的　探讨肺上沟癌的临床特点及放疗疗效和不良反应。方法　回顾性分析 3 3例肺上沟癌住院病人的临床特征和常规放疗的疗效。结果　肺上沟癌占原发性支气管肺癌的 2 9% ,常见症状为 :患侧肩、背和上肢疼痛 ( 78 8% ) ,后 1,2 ,3肋骨或椎骨破坏( 5 7 6% ) ,Horner’s综合征 ( 3 6 7% ) ;少见的症状为 :咳嗽 ( 2 7% ) ,咯血 ( 9% ) ;中位生存期为 8 4月 ;1,3 ,5年生存率分别为 3 5 6% ,12 3 % ,4 6% ;放疗反应可耐受。结论　肺上沟癌相当少见 ,其临床特征基本符合pancoast综合症 ,本病预后差 ,但放疗可缓解疼痛 ,提高生存质量。Objective To investigate the clincal features and effect of radiotherapy in patients with superior sulcus lung carcinoma(SSLC).Methods A retrospective review was conducted to evaluate the clinical features and effects of radiotherapy in 33 patients with SSLC.Results The incidence of SSLC was 2.9% in 1 483 cases of primary bronchogenic carcinoma. The common symptons were as follows: pain of ipsilateral shoulder, back and upper extremity 78.8%,destruction of 1,2,3 posteior rib and vertebral bones 57.6% and Horner's syndrome 36.7%. The median survival was 8.4months.The rate of pain relief was 90.2%. Radiation-induced mordidity was acceptable.Conclusions SSLC is a rare clinical entity and its prognosis is poor.The clinical features of SSLC are in harmony with those of pancoast syndrome.

关 键 词：肺上沟癌 临床特点 放射疗法 疗效 不良反应 预后 

分 类 号：R734.2[医药卫生—肿瘤]