摘要
目的探讨青年人原发性支气管肺癌临床及病理特点。方法对2007年1月至2008年12月我院收治217例40岁以下的原发性支气管肺癌患者进行回顾性分析。结果青年人肺癌男女比例为1.47∶1,病理类型以腺癌最多占42.4%,其次鳞癌为29%及小细胞肺癌为15.7%。TNM分期以Ⅲb-Ⅳ期居多占71.9%,手术切除率低。结论青年肺癌病理类型以腺癌最多,其次为鳞癌及小细胞肺癌,确诊时多为晚期,预后差。重视青年患者的肺部表现,及时行相应检查,有助于肺癌的早期诊断及治疗。
Objective To study the clinical and pathological characteristics of young patients with primary bronchogenic carcinoma of lung.Methods 217 young lung cancer patients （40 years old or younger） who had detailed clinical data were studied retrospectively from Jan 2007 to Dec 2008.Results The occurrence ratio of male to female was 1.47：1. Adenocarcinoma was accounted for 42.4% and it was the main histological type of lung cancer in youth. The secondary was squamous carcinoma （29%） , followed by small cell lung cancer （15.7% ）. The disease at advanced stage was most manifested （ about 71.9%） in young patients.The rate of acceptable surgical resection was low.Conclusion In these young patients, adenocarcinoma is the main histological type, and the secondary was squamous carcinoma and small cell lung cancer . The disease at advanced stage is common, and the prognosis is poor. It should be paid more attention to the symptoms of chest while doing some essential examination so as to make the confirmation of the diagnosis and conduct reasonable treatment in early stage.
出处
《中国实用医药》
2010年第15期49-50,共2页
China Practical Medicine
关键词
青年人
肺癌
病理
临床分析
Young
Lung cancer
Pathology
C linical analysis
