Eigel P, Humann H, Elert O, Krein A, Silber R
Abteilung für Thorax-, Herz- und thorakale-Gefässchirurgie, chirurgische Klinik und Poliklinik der Universität Würzburg.
Pneumologie. 1990 Feb;44 Suppl 1:265-6.
A total of 407 patients were hospitalized on account of a peripheral round lesion in the lungs (PR); 176 of these patients were inoperable for a wide range of different reasons. In 32.9% of the cases, a peripheral bronchial carcinoma presented, in 26.9%, the lesions were metastases, and in 2% malignant growths that were not further classified. All the remaining PR were benign. The following surgical procedures were performed: 39.8% lobectomies, 19.2% wedge resections, 20.6% enucleations, 6.4% segmental resections, 5.1% bilobectomies, 2.2% pneumonectomies, 6.7% various other procedures. The surgical mortality rate was 1.7% (0% in the case of the benign lesions); the re-thoracotomy rate for complications was 4.5%. The five-year survival probability for all bronchial carcinoma patients was 36%, and for all meta patients 47%. The poorest prognosis was seen in patients with PR when a small cell carcinoma or adenocarcinoma presented, and also in T3 tumours.
共有407例患者因肺部周围圆形病变（PR）住院；其中176例患者因各种不同原因无法进行手术。在32.9%的病例中为周围型支气管癌，26.9%为转移瘤，2%为未进一步分类的恶性肿瘤。其余所有PR均为良性。实施了以下手术：39.8%为肺叶切除术，19.2%为楔形切除术，20.6%为摘除术，6.4%为肺段切除术，5.1%为双肺叶切除术，2.2%为全肺切除术，6.7%为其他各种手术。手术死亡率为1.7%（良性病变患者为0%）；并发症的再次开胸率为4.5%。所有支气管癌患者的五年生存率为36%，所有转移瘤患者为47%。当出现小细胞癌或腺癌以及T3肿瘤时，PR患者的预后最差。
