CAJ | 학술논문

目的探讨≤40岁青年人肺癌的临床及病理特征，并与＞40岁的中老年人肺癌进行比较。方法对218例青年人肺癌(青年组)以及同期的944例中老年人肺癌(中老年组)进行回顾性分析，比较两组临床及病理特征。结果青年组女性患者比例高(39％ vs 27％，P＜0.001)，以腺癌为主要病理类型(50.9％)，病理类型构成与中老年组相比有显著差异(P＜0.001)。咳嗽是最常见的症状(73.9％)，其他症状的发生率均不高。青年组患者确诊时晚期比例高(76.0％ vs 48.0％，P＜0.001)，接受手术治疗比例显著低于中老年组( P＜0.001)，接受综合治疗比例也较低(20.2％)。结论青年人肺癌具有其特殊的临床及病理特征，明显不同于中老年人肺癌，应提高对青年人肺癌的认识。
목적 탐토≤40세청년인폐암적림상급병리특정，병여＞40세적중노년인폐암진행비교。방법 대218례청년인폐암(청년조)이급동기적944례중노년인폐암(중노년조)진행회고성분석，비교량조림상급병리특정。결과 청년조녀성환자비례고(39％ vs 27％，P＜0.001)，이선암위주요병리류형(50.9％)，병리류형구성여중노년조상비유현저차이(P＜0.001)。해수시최상견적증상(73.9％)，기타증상적발생솔균불고。청년조환자학진시만기비례고(76.0％ vs 48.0％，P＜0.001)，접수수술치료비례현저저우중노년조( P＜0.001)，접수종합치료비례야교저(20.2％)。결론 청년인폐암구유기특수적림상급병리특정，명현불동우중노년인폐암，응제고대청년인폐암적인식。
Objective To study whether the clinico-pothologic characteristics of young lung cancer patients (≤40 years of age) and compare with those of older lung cancer patients (＞40 years of age).Methods Retrospective analysis was carried out to compare the clinico-pathologic features of 218 young patients (young group) with those of 944 older ones (older group). Results Compared with the older group,young group had more female (39％ vs 27％, P ＜0. 001), different constitution of pathological types ( P ＜ 0. 001 ) characterized with more adenocarcinoma (50.9％), more advanced-stage disease (76.0％ vs 48.0％, P ＜0. 001) and less patients underwent surgery ( P ＜0. 001). Cough was the most common presentation (73.9％),and other symptoms were not common. Combined-modality therapy was not common (20.2％) in the young group. Conclusions Young patients with lung cancer present difference in clinico-pathologic features from the older ones. The younger type of lung cancer should be paid attention to.