【摘要】 目的总结探讨肺腺鳞癌的临床特点。方法回顾性总结该院2003年1月至2008年1月诊治的2705例肺癌中的87例肺腺鳞癌患者的临床资料,并结合文献进行讨论。结果87例肺腺鳞癌患者按国际TNM临床分期标准:Ⅰa期7例,Ⅰb期18例,Ⅱa期3例,Ⅱb期12例,Ⅲa期32例,Ⅲb期8例,Ⅳ期7例;全组患者有淋巴结转移46例,转移率52.87%。支气管残端阳性者占11.50%。结论肺腺鳞癌好发于老年男性和吸烟者,病变部位以周围为主,上叶是其好发部位。临床表现和X线没有特异性,痰查瘤细胞和纤维支气管镜检出率低,术前确诊率低。肺腺鳞癌分化差、恶性度高、易发生淋巴结转移。肺腺鳞癌的预后明显差于肺鳞癌和腺癌。更多还原

【Abstract】 Objective The aim of this study was to explore the clinical features of adenosquamous carcinoma of the lung(ASLC).Methods We analysed the clinical features of 87 cases of ASLC in our hospital from January,2003 to January,2008 retrospectively and the related literature was reviewed.Results Of the 87 patients,7 had stageⅠa,18 had stageⅠb,3 had stageⅡa,12 had stageⅡb,32 had stage Ⅲa,8 had stage Ⅲb,and 7 had stage Ⅳ disease,according to the TNM staging system.Forty-six cases(52.87%) had lymph nodes metastasis.There were 10 patients had residual carcinoma at the resection margin(11.50 %).Conclusion The majority of poulumonary ASLC occurres in old male and smoker.The majority of ASLC is located peripherally,it occurres most frequently in upper lobes.Clinical features and the radiological findings of ASLC are not specific and the diagnosis is difficult before operation.It is easy to invade the adjacent organ and metastasize in early stage,the ASLC was poorer than squamous carcinoma and adenocarcinoma of the lung.更多还原