摘要
目的 :总结青年肺癌的临床特征 ,探讨提高外科治疗效果的方法。方法 :对小于 40岁原发肺癌患者 31例进行回顾分析 ,总结临床病理学特征 ,以指导外科治疗。结果 :①肺癌总体人群中 ,青年肺癌比例有上升趋势 ,本组占同期肺癌的 7 38%。②女性比例增高 ,男女比例为 2 44∶1。③病理组织学分化差 ,病理类型以腺癌多见 ,占 42 9% (12 /2 8)。④青年人肺癌早期症状不典型 ,临床症状无特异性 ,误诊率高 ,首次就诊误诊达 80 6 %。⑤青年肺癌进展快 ,转移早 ,可手术率低 ,总体预后差。结论 :青年肺癌早期症状不典型 ,误诊率高 ,恶性程度高 ,进展快 ,预后差。必须加强认识 ,早期诊断 ,尽可能手术切除 ,姑息性手术治疗亦有一定临床价值 ;术中或术后辅以放化疗等综合措施是提高术后生存期的有效方法。
Purpose:To summarize the clinical features of juvenile pulmonary carcinoma,investigate the surgical therapeutic effect.Methods:retrospective analysis were applied on the clinicopathalogic features of 31 primary pulmonary carcinoma cases below 40 years old.Result:①Juvenile morbidity increased to 7.38% among homochronous cases.②The ration of male to female was 2.44:1 Female morbidity is higher than male.③Histopathological degree is undifferentiated,adenocarcinoma was 42.9%(12/28).④Early symptom is a typical and aspecific.Misdiagnosis rate reaches td 80.6%.⑤The state of illness exacerbate and matastasize easily,and often tends to an unfavourable prognosis.Conclusion:Early resolution,diagnosis and operation are very important.Palliative operation is an available way in clinic.Radiotherapy and chemotherapy during operation or after operation can obviously delay patient′s survival period.
出处
《川北医学院学报》
CAS
2001年第1期5-7,共3页
Journal of North Sichuan Medical College
关键词
青年人
肺癌
临床特征
外科治疗
juvenile pulmonary carinoma
clinical features
surgical treatment
