摘要
目的：探讨肺癌肉瘤的发病、诊断、治疗及预后。方法：收集我院胸外科自 1964年 4月至 2000年 2月治疗的肺癌肉瘤 14例进行回顾性分析。结果：本组病例占同期肺部肿瘤的 0.26％，临床症状、影像学表现与肺癌相似。本组全部行根治性切除加区域淋巴结清扫，术后 4例辅以化疗， 2例辅以局部放疗， 2例辅以 LAK细胞免疫治疗。 3年生存率为 28.57％，中位生存时间为 31.9个月。结论：痰涂片细胞学检查和支气管纤维镜检查对术前获得病理确诊帮助不大，一般需术后全标本大切片病理证实。本病治疗一般首选手术治疗，但预后较差，生存期的长短似乎与病期关系不大，要提高疗效，需要在综合治疗方面做更多研究。
Objective: To investigate the clinical feature and treatment of lung carcinosarcoma. Methods: Retrospective study was conducted in a total of 14 cases of lung carcinosarcoma hospitalized from April 1964 to February 2000. Results: Fourteen cases of lung carcinosorcoma were represented 0.26％ of the total lung tumor treated in the same period,their clincal symtoms and radiography feature were simillar to the lung cancer. All cases underwent radical resection and reginal lymphadenectomy. After surgery,4 cases received chemotherapy,2 cases received local radiotherapy, 2 cases received LAK cell immunotherapy respectively. The 3 year survival rate was 28.57％ and median survival time was 31.9 months. Conclusion: Sputum cytology and bronchoscopy are not very helpful in pathologic diagnosis preoperatively. Surgery is the optimal treatment, the degree of stages may be not paralleled with the survival time.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
2000年第10期909-911,共3页
Chinese Journal of Cancer
关键词
肺癌肉瘤
综合治疗
外科手术
诊断
Lung neoplasms； Lung carcinosarcoma； Multimodality therapy； Surgical operation
