摘要
目的 :研究老年肺多原发癌的临床诊断、治疗和预后。方法 :回顾性分析 2 81例经病理证实的老年肺癌患者 ,对其中 1 4例肺多原发癌进行临床分析。结果 :本组老年肺多原发癌 1 4例占 4 98% (1 4 2 81 ) ,其中双原发癌 1 3例 (92 9% ) ,三原发癌 1例 (7 1 % )。首癌平均生存期 1 1 4 3月 ,首癌与重癌间隔平均 52 2月。 1 1例重癌接受治疗后平均生存 47 2月 ,手术治疗者 6例平均生存 71 2月 ,显著长于非手术治疗者的 1 8 4月。结论 :随存活时间的延长 ,重复癌的发生的危险逐渐增加 ,尤其是存活 2年以上 ,因此需要对肺原发癌治疗后存活的患者长期终生追踪。为获得较好的预后 。
Objective:To study the diagnosis, treatment and prognosis of multiple primary lung cancers (MPLC) in elderly patients Methods: 14patients with MPLC from 281 patients of lung cancer confirmed by pathology and cytology were retrospectively reviewed and analyzed clinically Results: The incidence of the MPLC comprised of 4 98%(14/281); 13 patients had double primary cancers, 1 patients had three primary cancers; the mean survival of the first cancer was 114 3 months; the mean interval between primary tumor and the second tumor was 52 2 months; 6 patients with MPLC underwent resection of tumor, their mean survival was 71 2 month, which was longer than that of 5 patients without surgical treatment18 4 months Conclusions: The surviving patients of primary lung cancers require lifelong screening for MPLC, because the incidence of the MPLC are increasing in long surviving patients, the surgical treatment should be recommended
出处
《军医进修学院学报》
CAS
2002年第3期176-178,共3页
Academic Journal of Pla Postgraduate Medical School
