摘要
目的探讨慢性阻塞性肺病(COPD)合并肺癌的临床特点。方法对35例COPD合并肺癌的病例进行分析。结果 COPD分级:Ⅰ级8例,Ⅱ级17例,Ⅲ级7例,Ⅳ级3例。CT表现:肿块影28例;阻塞性肺炎9例;胸腔积液6例;肺不张5例。细胞类型:鳞癌16例,腺癌9例,小细胞癌7例,大细胞癌1例,未定型2例。肺癌TNM分期:Ⅰa期2例,Ⅰb期4例,Ⅱa期2例,Ⅱb期5例,Ⅲa期7例,Ⅲb期8例,Ⅳ期7例。转归:死亡29例,生存期1～28个月。结论 COPD合并肺癌时,早期常不易被发现,确诊时多为晚期。故COPD合并吸烟的患者,如出现可疑肺癌征象,应高度引起重视,及早完善检查及明确诊断,以降低死亡率,延长生存期。
Objective To discuss the clinical features of chronic obstructive pulmonary disease （COPD） combined with lung cancer. Methods Clinical data of 35 patients of COPD combined with lung cancer were analyzed. Results COPD classification ： Ⅰ grade in 8 cases, Ⅱ grade in 17 cases, Ⅲ grade in 7 cases, and Ⅳ grade in 3 cases. CT performance： mass in 28 cases; obstructive pneumonia in 9 cases; six cases of pleural effusion; pulmonary atelectasis in 5 cases. Cell types： squamous cell carcinoma in 16 cases, adenocarcino- ma in 9 cases, 7 cases of small cell carcinoma, large cell carcinoma in 1 case, no stereotypes in 2 cases. TNM staging of lung cancer： I a period of 2 cases, Ⅰ b period of 4 cases, Ⅱ a period of 2 cases, Ⅱ b period of 5 cases, Ⅲ a period of 7 cases, Ⅲ b period of eight cases, Ⅳ period of 7 cases. Prognosis： death in 29 cases, survival time 1 - 28 months. Conclusion COPD complicated with lung cancer is often difficult to be discovered in the prophase, while be diagnosed in the advanced stage. Therefore, patients of COPD with smoking who appear suspicious signs of lung cancer should be given more attention as early as possible with complete examination and diagnosis in order to reduce mortality and to prolong survival time.
出处
《临床肺科杂志》
2012年第2期315-316,共2页
Journal of Clinical Pulmonary Medicine
关键词
慢性阻塞性肺病
肺癌
临床分析
chronic obstructive pulmonary disease
lung cancer
clinical analyzes
