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细支气管肺泡癌的外科治疗

[Surgical treatment of bronchiolo-alveolar cancer].

作者信息

Parshin V D, Grigor'eva S P, Mirzoian O S, Fedorov D N

出版信息

Khirurgiia (Mosk). 2009(12):4-12.

Abstract

Bronchioloalveolar cancer (BAC) belongs to a high- grade differentiated lung adenocarcinoma, localizes in peripheral parts of the lung and demonstrates an intraalveolar growth. 21 patients with BAC has been operated during the period of 1968-2008yy. It comprised 0,5% of the whole amount of patients operated on lung cancer. Diagnostics of BAC, especially its pneumonia-like form, is considered to be challenging and often belated. Though it was retrospectively proven, that BAC is characterized by a slow growth and rare involvement of lymph nodes. Lobectomy is considered to be a method of choice for the surgical treatment. Long-term treatment results are somewhat better then of other forms of non-small cell carcinoma of lung: of 21 radically operated patients, 11 are alive.

摘要

细支气管肺泡癌(BAC)属于高分化肺腺癌,位于肺外周部分,呈肺泡内生长。1968年至2008年期间,有21例BAC患者接受了手术。这占肺癌手术患者总数的0.5%。BAC的诊断,尤其是其肺炎样形式,被认为具有挑战性且常常延迟。尽管经回顾性证实,BAC的特点是生长缓慢且很少累及淋巴结。肺叶切除术被认为是手术治疗的首选方法。长期治疗结果比其他形式的非小细胞肺癌稍好:21例接受根治性手术的患者中,11例存活。

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