摘要
目的 总结我科 1989年以来诊治 62例青年人肺癌的经验。方法 对 62例 (男 3 9例 ,女 2 3例 )误诊情况、确诊时间、肿瘤类型及分期、治疗及其方法和转归进行统计分析。结果 手术探查 11例病人术后多在 1.5年内死亡。手术切除 3 5例术后 1,3 ,5年生存率分别为 84.85 % ,65 .5 5 %和 2 6.0 5 %。Ⅰ期、Ⅱ期手术切除率与Ⅲ期有显著性差异(P <0 .0 5 ) ;Ⅰ期及Ⅱ期术后 5年生存率与Ⅲ期及Ⅳ期有显著性差异 (P <0 .0 5 )。结论 ① 40岁以下肺癌病人性别差异不大 ,病理类型以腺癌和未分化癌占比例大 ,鳞癌相对较少 ,且病情发展快 ,转移早。②青年人肺癌常被误诊。③本组晚期病人多 ,是造成本组术后 5年生存率较低的原因。
Objective To summarize the experince in diagnosis and treatment of lung cancer in 62 young patients at the authors′s department from 1989 to 1999.Methods The patients(39 males and 23 females)were between 13 and 39 years of age.The data for statistical analysis included the misdiagnosis,the diagnostic time(the period from onset to evidenced diagnosis of lung cancer),the type and stage of lung cancer,and the treatment and outcome.Results Eleven patients underwent explorative operation and died within one and a half years.The one ,three and five year survival rates of 35 resected cases were 84.85%,65.55% and 26.05% respectively.The resection ratio of stage Ⅰ and stage Ⅱ was significantly higher than that of stage Ⅲ( P <0.05).The five year survival rate of stage Ⅰand stage Ⅱwas significantly higher than that of stage Ⅲ( P <0.05).Conclusion There was no significant gender predisposition in lung cancer patients under 40 years old.The incidence of adenocarcinoma and undifferentiated carcinoma was higher than that of squamous cell carcinoma.The stage Ⅳ cases were aggressive and metastasized early.Lung cancer in young patients were misdiagnosed usually as tuberculosis,pneumonia,tuberculous pleuisy,and inflammatory pseudotumor.A large number of advanced cases in this group may be the cause for low five year survival rate.
出处
《四川医学》
CAS
2000年第3期203-204,共2页
Sichuan Medical Journal
关键词
青年人
肺癌
诊断
治疗
Young persons Lung cancer Diagnosis Treatment
