Kikuchi K, Kobayashi T, Watanabe M, Kawamura M, Kato R, Kobayashi K, Ishihara T
Department of Surgery, Keio University School of Medicine.
Kyobu Geka. 1991 Jan;44(1):85-8.
We studied the surgical results in 31 patients with small sized but advanced lung cancer. Twenty-two patients had mediastinal lymph node metastasis, 6 had pulmonary metastasis, 3 had pleural dissemination. Histological type were adenocarcinoma in 21 patients, large cell carcinoma in 5 patients, small cell carcinoma in 4 patients. The 5-year survival rate in patients with mediastinal lymph node metastasis (pT1N2) was 24.1%. The 5-year survival rate in patients (pT1N2) for clinical N0, N1 was 34.6%, but no patient with clinical N2 disease survived more than 2 years after the operation. In the patients with pulmonary metastasis or pleural dissemination none survived more than 5 years after the operation.
我们研究了31例小型但进展期肺癌患者的手术结果。22例患者有纵隔淋巴结转移，6例有肺转移，3例有胸膜播散。组织学类型为腺癌21例，大细胞癌5例，小细胞癌4例。纵隔淋巴结转移（pT1N2）患者的5年生存率为24.1%。临床N0、N1的（pT1N2）患者5年生存率为34.6%，但临床N2疾病的患者术后无一人存活超过2年。有肺转移或胸膜播散的患者术后无一人存活超过5年。
