摘要
目的 :总结探讨肺腺鳞癌切除术后的临床病理特点及预后。方法 :采用SPSS软件建立肺癌病例数据库并进行统计学分析 ;对其中 5 4例肺腺鳞癌的统计资料作进一步的理论及预后分析。结果 :5 4例肺腺癌中 ,周围型 42例 ,占 77 78% ,有淋巴结转移者 2 6例 ,转移率为 48 15 % (2 6 / 5 4) ,切除淋巴结总数 5 79枚 ,有转移淋巴结115枚 ,转移度为 19 89% (115 / 5 79)。根治性切除者 42例 ,姑息性切除者 12例。 5年生存率 :肺腺鳞癌为 37 0 4%(2 0 / 5 4) ,肺鳞癌为 6 4 2 2 % (2 6 3/ 5 6 9) ,肺腺癌为 36 96 % (170 / 46 0 ) ,肺未分化癌为 32 82 % (43/ 131)。结论 :肺腺鳞癌以周围型肿瘤多见 ,其淋巴结转移度明显高于肺鳞癌 (P <0 0 1) ,与肺腺癌相似 ;肺腺鳞癌的预后明显差于肺鳞癌 ,与肺腺癌无显著性差异。肿瘤成分比例与预后无关。
Objective:To study clinicopathologic characteristics and prognosis of surgically resected adenosquamous carcinoma of the lung Methods:Data base of adenosquamous carcinoma of the lung were statistically analyzed by using SPSS software The survival rates between groups were further analyzed according to the log rank test Results:Among the 45 cases includeing 42 cases of peripheral type of the lung (77 78%) , and 26 cases with lymph node metastasis LNM were 48 15% LNM degree was 19 89%(115/579) 5 year survival rate was 37 04%(20/54) Conclusion:LNM degree of adnosquamous carcinoma of the lung was significantly more than squamous carcinoma of the lung and similar with adenocarcinoma of the lung The prognosis in patients with adenosquamous carcinoma of the lung was poorer than squamous carcinoma of the lung and almost same in patients with adenocarcinoma The amount of adenocarcinoma component did not affect the survival rate
出处
《癌症》
SCIE
CAS
CSCD
北大核心
2000年第5期458-459,467,共3页
Chinese Journal of Cancer
