Yamakawa Y, Saitou Y, Kiriyama M, Fukai I, Yano M, Kaji M, Sasaki H, Fujii Y
Department of Surgery II, Nagoya City University Medical School, Nagoya, Japan.
Kyobu Geka. 2002 Jan;55(1):10-4.
Thirty-eight patients (3.4%) of multiple primary lung cancers were treated among 1,106 patients of lung cancer at Nagoya City University Hospital. Twenty-eight patients had multiple lung lesions at the same time. Ten had the second primary lung cancer from 5 to 12 years after the first operation. Thirty-six patients had the second operation, and two had adjuvant therapy for lung cancer. Their 5 year survival rate was 36%. Especially of the patients with stage I lung cancer, 5 year survival rate was 65%. Radical but less invasive operation like VATS should be chosen for their treatment.
在名古屋市立大学医院的1106例肺癌患者中，有38例（3.4%）患有多原发性肺癌。28例患者同时有多个肺部病灶。10例在首次手术后5至12年发生了第二原发性肺癌。36例患者接受了第二次手术，2例接受了肺癌辅助治疗。他们的5年生存率为36%。特别是I期肺癌患者，5年生存率为65%。对于他们的治疗，应选择像电视辅助胸腔镜手术（VATS）这样根治性但侵入性较小的手术。
