Suyama M, Kunishima K, Takagi I, Shinoda M, Karasawa K
Department of Thoracic Surgery, Aichi Cancer Center Hospital.
Kyobu Geka. 1991 Jan;44(1):28-32.
We analyzed 15 patients with small but advanced primary lung cancer operated from 1965 to 1988. The size of tumors were less than 2.0 cm in largest dimension and their pathological stages III A, III B and IV. The histological types were adenocarcinoma in 13 cases and squamous cell carcinoma in 2 cases. Nine patients (69%) had elevated levels of preoperative serum CEA. The prognosis of patients with intrapulmonary metastases was better than that of those with pleural dissemination. In adenocarcinoma patients with mediastinal lymph node metastases, the survival rate of cases with small cancer less than 2.0 cm in diameter was higher than those with large cancer more than 5.0 cm in diameter.
我们分析了1965年至1988年期间接受手术的15例小型但已进展的原发性肺癌患者。肿瘤最大直径小于2.0厘米，病理分期为ⅢA期、ⅢB期和Ⅳ期。组织学类型为腺癌13例，鳞状细胞癌2例。9例患者（69%）术前血清癌胚抗原水平升高。肺内转移患者的预后优于胸膜播散患者。在有纵隔淋巴结转移的腺癌患者中，直径小于2.0厘米的小癌患者的生存率高于直径大于5.0厘米的大癌患者。
