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肺大细胞癌:一种侵袭性很强且预后很差的肿瘤。

Large cell carcinoma of the lung: a highly aggressive tumor with dismal prognosis.

作者信息

Downey R S, Sewell C W, Mansour K A

机构信息

Division of Thoracic and Cardiovascular Surgery, Joseph B. Whitehead Department of Surgery, Atlanta, Georgia.

出版信息

Ann Thorac Surg. 1989 Jun;47(6):806-8. doi: 10.1016/0003-4975(89)90007-6.

DOI:10.1016/0003-4975(89)90007-6
PMID:2547348
Abstract

A retrospective review was made of 96 consecutive patients with large cell carcinoma of the lung admitted to Emory University Hospital over 10 years. Only 10 patients were seen with stage I lesions favorable for resection. The remainder were treated primarily with irradiation or chemotherapy. Mean survival for clinical stage I patients was 15.9 months; stage IIIA patients, 7.9 months; stage IIIB patients, 7.1 months; and stage IV patients, 5.8 months. Only 1 patient survived for 5 years. This distinct and highly aggressive form of lung cancer most commonly is seen at an advanced stage and is associated with an unusually dismal prognosis regardless of the method of treatment employed.

摘要

对埃默里大学医院10年间收治的96例连续性肺大细胞癌患者进行了回顾性研究。仅10例患者为适合手术切除的Ⅰ期病变。其余患者主要接受放疗或化疗。临床Ⅰ期患者的平均生存期为15.9个月;ⅢA期患者为7.9个月;ⅢB期患者为7.1个月;Ⅳ期患者为5.8个月。仅1例患者存活了5年。这种独特且侵袭性很强的肺癌最常见于晚期,无论采用何种治疗方法,其预后都异常糟糕。

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1
Large cell carcinoma of the lung: a highly aggressive tumor with dismal prognosis.肺大细胞癌:一种侵袭性很强且预后很差的肿瘤。
Ann Thorac Surg. 1989 Jun;47(6):806-8. doi: 10.1016/0003-4975(89)90007-6.
2
[Bronchial cancer--development, diagnosis, therapy, prognosis].[支气管癌——发展、诊断、治疗、预后]
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A retrospective analysis of patients receiving surgery after chemotherapy for small cell lung cancer.对小细胞肺癌化疗后接受手术的患者进行回顾性分析。
Jpn J Clin Oncol. 1991 Feb;21(1):39-45.
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Multimodal therapy of small cell lung cancer in TNM stages I through IIIa.TNM分期为I至IIIA期的小细胞肺癌的多模式治疗。
Ann Thorac Surg. 1992 Sep;54(3):493-7. doi: 10.1016/0003-4975(92)90441-6.
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Prognosis and survival in resected lung carcinoma based on the new international staging system.基于新国际分期系统的切除性肺癌的预后与生存情况
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The management of small cell lung cancer.小细胞肺癌的管理
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[Treatment of 100 patients with small cell lung cancer].[100例小细胞肺癌患者的治疗]
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引用本文的文献

1
Clinical features of bronchogenic large cell carcinoma confirmed by surgical resection.经手术切除确诊的支气管源性大细胞癌的临床特征
Korean J Intern Med. 2003 Dec;18(4):212-9. doi: 10.3904/kjim.2003.18.4.212.
2
Accelerated apoptosis and low bcl-2 expression associated with neuroendocrine differentiation predict shortened survival in operated large cell carcinoma of the lung.与神经内分泌分化相关的加速凋亡和低bcl-2表达预示着手术切除的肺大细胞癌患者生存期缩短。
Pathol Oncol Res. 1999;5(3):179-86. doi: 10.1053/paor.1999.0198.