摘要
目的 :了解肺癌肉瘤的临床、病理特点 ,探讨其可能的组织学来源及合理的治疗方式。方法 :对 12例肺癌肉瘤患者的临床资料进行回顾性分析。结果 :所有 12例患者均行手术治疗 ,手术切除率、手术并发症发生率及手术死亡率分别为 10 0 .0 % ,16 .7%和 8.3%。术后 5 a生存率为 33.3% ,已证实死亡的 5例患者除 1例死于术后并发症外 ,其余均死于远处转移。结论 :肺癌肉瘤是一种恶性程度并不高于一般肺癌的恶性肿瘤。手术切除是其首选和主要的治疗手段。手术指征应包括 a期及以早分期、部分 b期及 期患者。
Objective:To evaluate the clinical and pathological characteristics and origins of pulmonary carcinosarcoma and find reasonable mode of treatment.Method:The clinical materials of 12 patients with pulmonary carcinosarcoma were retrospectively studied.Result:All the 12 patients were treated with operation.The resectability,morbidity and mortality rates were 100.0%,16.7% and 8.3% respectirely.The postoperative 5-year survival rate was 33.3%.All the 5 deceased patients died of distant metastasis except one died of operative complication.Conclusion:Pulmonary carcinosarcoma is a malignant disease with lower malignaney than that of general lung cancer.Surgical resection is the first preferable and main treatment.Surgical indications should include the patlents with stage O,Ⅰ,Ⅱ,Ⅲa or even some Ⅲb or Ⅳ disease.
出处
《山西临床医药》
2000年第10期778-779,共2页
Shanxi Clinical Medicine
关键词
肺癌肉瘤
病理
组织学
外科手术
pulmonary neoplasm
carcinosarcoma
surgical treatment
