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青年原发肺癌64例临床分析

An analysis of 64 cases of young primary lung cancer

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【摘要】 本文对64例30岁以下原发性肺癌作临床分析,男女的比率是1.2:1,男性未分化癌占45.7%,女性腺癌占44.8%。初诊时误诊率为81.2%(52例),待确诊时绝大多数(61例)已属晚期(Ⅲ或Ⅳ期)。 因此提示青年肺癌具有发展快,转移早的特征,并因失去手术根治时机至使预后不佳。为了提高诊断水平,对青年患者有不明原因的呼吸道症状或其他征兆,均应作详细的各项有关检查,争取早期确诊,以改善青年肺癌的预后。

【Abstract】 64 cases under 30 years old of primary lung cancer are reported and analysed. The ratio of male and female was 1.2:1. Cytologically, poor differentiated type was 45.7% in male and adenocarcinoma was 44.8% in female. The incidence of misdiagnosis was 81.2% (52 cases) initially. When the final diagnosis was made correctly, 61 cases (95%) overwhelming majority had been in late stage (stage Ⅲ or Ⅳ).Our results suggested that lung cancer in youth was characterized by rapid deterioration, early metastasis, without much chance for radical operation and poor prognosis. In order to raise the diagnostic level, we have to pay more attention to the young patients who have unexplained respiratory and other syptoms and signs with timely examination.

  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,1984年05期
  • 【被引频次】7
  • 【下载频次】9
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