摘要
对临床少见的肺癌骨骼肌转移病例的临床表现和治疗结果进行分析。方法:自1990年2月～2000年12月共收治肺癌骨骼肌转移5例,男2例,女3例;年龄42～82岁。例1、例2和例3为肺鳞状细胞癌,骨骼肌单发转移,均采用转移灶广泛切除术加肺癌根治术。例4和例5为肺腺癌,骨骼肌多发转移,仅行转移灶广泛切除术。结果:术后随访例1和例2无瘤生存分别为16个月和22个月,例3无瘤生存12个月死亡。例4和例5分别带瘤生存6个月和8个月死亡。结论:以骨骼肌转移瘤为首诊的肺癌转移临床虽少见,但随着肺癌发病率上升可能有增多的趋势。采用转移灶广泛切除术加肺癌根治术,术后辅助综合治疗(化疗、免疫治疗、放疗)疗效满意,临床上应积极治疗。
Objective:Clinical feature and treatment were reviewed in5cases with skeletal muscle metastasis from lung cancer.Methods:Five patients(2male,3female)whose age from42to82years were treated in our hospital during1990～2000.Three cases with solitary lesion from lung squamous cell carcinoma were treated with resection of matastatic lesion plus radical operation of lung cancer.Two cases with multiple lesions from lung adenoid carcinoma were only treated by operation on metastasis sites.Results:The two patients with solitary lesion from lung squamous cell carcinoma survived without tumor for16and22months respectively,another patient with solitary lesion from lung squamous cell carcinoma dead in12months.The two cases with multiple lesions from lung adenoid carcinoma dead with tumor in6and8months respectively.Conclusion:Skeletal muscle metastasis from lung cancer used to be rare,but it has an increasing tendency following the increasing incidence of lung cancer.The curative effects of surgical treatment for matastatic lesion plus lung cancer associated with auxiliary therapy were satisfactory.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2003年第4期250-251,254,共3页
Chinese Journal of Clinical Oncology
关键词
肺癌
转移
骨骼肌
外科治疗
Lung cancer Metastasis Skeletal muscle Surgical treatment
