CAJ | 학술논문

目的总结探讨肺腺鳞癌的临床特点.方法回顾性总结该院2003年1月至2008年1月诊治的2705例肺癌中的87例肺腺鳞癌患者的临床资料,并结合文献进行讨论.结果 87例肺腺鳞癌患者按国际TNM临床分期标准:Ⅰa期7例,Ⅰb期18例,Ⅱa期3例,Ⅱb期12例, Ⅲa期32例,Ⅲb期8例,Ⅳ期7例;全组患者有淋巴结转移46例,转移率52.87%.支气管残端阳性者占11.50%.结论肺腺鳞癌好发于老年男性和吸烟者 ,病变部位以周围为主, 上叶是其好发部位.临床表现和X线没有特异性,痰查瘤细胞和纤维支气管镜检出率低,术前确诊率低.肺腺鳞癌分化差、恶性度高、易发生淋巴结转移.肺腺鳞癌的预后明显差于肺鳞癌和腺癌.
목적 총결탐토폐선린암적림상특점.방법 회고성총결해원2003년1월지2008년1월진치적2705례폐암중적87례폐선린암환자적림상자료,병결합문헌진행토론.결과 87례폐선린암환자안국제TNM림상분기표준:Ⅰa기7례,Ⅰb기18례,Ⅱa기3례,Ⅱb기12례, Ⅲa기32례,Ⅲb기8례,Ⅳ기7례;전조환자유림파결전이46례,전이솔52.87%.지기관잔단양성자점11.50%.결론 폐선린암호발우노년남성화흡연자 ,병변부위이주위위주, 상협시기호발부위.림상표현화X선몰유특이성,담사류세포화섬유지기관경검출솔저,술전학진솔저.폐선린암분화차、악성도고、역발생림파결전이.폐선린암적예후명현차우폐린암화선암.
Objective The aim of this study was to explore the clinical features of adenosquamous carcinoma of the lung(ASLC).Methods We analysed the clinical features of 87 cases of ASLC in our hospital from January,2003 to January,2008 retrospectively and the related literature was reviewed.Results Of the 87 patients,7 had stageⅠa,18 had stageⅠb,3 had stageⅡa,12 had stageⅡb,32 had stage Ⅲa,8 had stage Ⅲb,and 7 had stage Ⅳ disease,according to the TNM staging system.Forty-six cases(52.87%) had lymph nodes metastasis.There were 10 patients had residual carcinoma at the resection margin (11.50 %).Conclusion The majority of poulumonary ASLC occurres in old male and smoker.The majority of ASLC is located peripherally,it occurres most frequently in upper lobes.Clinical features and the radiological findings of ASLC are not specific and the diagnosis is difficult before operation.It is easy to invade the adjacent organ and metastasize in early stage,the ASLC was poorer than squamous carcinoma and adenocarcinoma of the lung.