摘要
目的探讨原发性肺肉瘤的诊断、治疗、临床病理特征及其预后。方法对14例外科治疗并经病理证实的原发性肺肉瘤进行回顾性分析。结果14例患者中,11例术前诊断为原发性肺癌,3例诊断为肺囊肿;14例患者均行病灶根治性切除手术;4例患者术后接受了2-4个周期的化疗。术后病理诊断：肺母细胞瘤6例,平滑肌肉瘤3例,纤维肉瘤2例,癌肉瘤2例（胶冻样物质癌肉瘤1例,结节状癌肉瘤1例）,伴有巨细胞的未分化多形性肉瘤1例。预后：患者1年生存率为91%,3年生存率为33%。结论原发性肺肉瘤术前不易确诊,明确诊断需依赖于病理检查;手术切除是治疗的首选。
Objective To study the diagnosis, treatment, pathology and prognosis of primary pulmonary sarcoma. Methods The clinical materials of 14 patients with primary pulmonary sarcoma were investigated. Results Among the 14 patients, 11 were diagnosed with primary lung cancer preoperatively, and 3 with pulmonary cyst. All the patients received operation, and 4 ones received chemotherapy after operation. The pathological outcomes were as following： pulmonary blastoma in 6, leiomyosarcoma in 3, fibrosarcoma in 2, carcinosarcoma in 2, and pantmorphic sarcoma in 1 patient（s）. The survival rates were 91% for 1-year and 33% for 3-year.Conclusion The diagnosis of primary pulmonary sarcoma depends on pathological examination, and the radical operation is the chief treatment.
出处
《临床军医杂志》
CAS
2008年第4期545-547,共3页
Clinical Journal of Medical Officers
基金
解放军总医院第一附属医院科研课题资助(2006A021)
关键词
肺肿瘤
肉瘤
根治性手术
pulmonary neoplasm
sarcomas
radical operation
