摘要
目的研究不同肺叶非小细胞肺癌患者的跳跃性淋巴结转移概率,为合理的淋巴结清扫提供依据。方法回顾性分析我科2007年1月～2009年10月期间327例行完全性切除的N2期非小细胞肺癌患者的临床病理资料,根据淋巴结是否存在跳跃性转移将327例患者分为跳跃转移阳性和阴性2组,对2组患者发生跳跃性转移的概率进行对比研究。结果 327例患者中有跳跃性转移112例,发生率为34.25%(112/327)。右肺上叶癌跳跃转移发生率为41.03%(32/78),右肺中下叶癌跳跃转移发生率为29.66%(35/118),左肺上叶癌跳跃转移发生率为46.58%(34/73);左肺下叶癌跳跃转移发生率为18.97%(11/58)。结论非小细胞肺癌患者发生跳跃性转移的概率较高,尤其左肺上叶癌发生跳跃转移的概率最高,认为系统性淋巴结清扫对于非小细胞肺癌患者来说是必需的,尤其对于左肺上叶癌更为重要。
Objective To investigate probability of the skip lymph node metastasis on non-small cell lung cancer among different lobes,offer rational evidence about extent of lymph node dissection.Methods Clinicopathological factors of 327 cases underwent complete resection of non-small lung cancer at N2 stage from January of 2007 to October of 2009 were analyzed retrospectively,all the cases were classified into two groups,skip lymph node metastasis positive and skip lymph node metastasis negative group,based on the findings whether the lymph node metastasis occurred or not,explored the probability of skip lymph node metastasis through compared these two groups.Results One hundred and twelve cases of positive skip lymph node metastasis among total 327 cases of non-small cell lung cancer at N2 stage,the total probability of skip metastasis was 34.25%（112/327）.The probability of the right upper,right middle-lower,left upper and left lower was 41.03%（32/78）,29.66%（35/118）,46.58%（34/73）and 18.97%（11/58）respectively.Conclusion There is a higher probability of skip lymph node metastasis in non-small cell lung cancer,the left upper lung cancer has the highest probability among all the lobes.Systemic lymph node dissection is essential for the surgical treatment of non-small cell lung cancer,this kind of therapy is more important for those patients with the left upper cancer than for others.
出处
《新疆医科大学学报》
CAS
2010年第6期673-674,共2页
Journal of Xinjiang Medical University
关键词
非小细胞肺癌
淋巴结跳跃性转移
淋巴结清扫
non-small cell lung cancer
skip lymph node metastasis
lymph node dissection
