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青年人肺癌的临床及病理特征

Clinical and Pathological Characteristics of Lung Cancer in Young Adults

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【作者】 田进涛胡鸿藻陈志强宋小平杨盛

【Author】 Tian Jintao,Hu Hongzao,Chen Zhiqiang,et al. Department of Thoracic Surgery,Beijing Jiuxianqiao Hospital,Beijing 100016

【机构】 北京酒仙桥医院胸外科北京酒仙桥医院胸外科 北京市100016北京市100016北京市100016

【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。

【Abstract】 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】 肺癌青年人外科病理
【Key words】 Lung cancer Young adult Surgery Pathology
  • 【文献出处】 中国厂矿医学 ,Chinese Medicine of Factory and Mine , 编辑部邮箱 ,2003年02期
  • 【分类号】R734.2
  • 【下载频次】26
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