Etienne G, Riquet M, Laccourreye H, Trotoux J, Debesse B
Service de Chirurgie Thoracique, Hôpital Laennec, Paris.
Ann Otolaryngol Chir Cervicofac. 1989;106(4):219-24.
The authors report a series of 63 cases, all operated, of bronchial cancer associated with upper airway cancer. The laryngeal portion of the upper airways was the site of cancer in 50% of cases. The two cancers occurred synchronously in 13% and at different times in 87% of cases. Operative mortality was 3%. Post-operative complications were dominated by bronchopulmonary congestion. Long-term survival was similar to that in series of operated bronchial cancer alone and was 70% at one year and 30% at five years. These results should lead to all isolated pulmonary lesions being considered as second primary cancers with early surgical resection being proposed.
作者报告了一系列63例均接受手术治疗的支气管癌合并上呼吸道癌病例。上呼吸道的喉部是50%病例的癌症发生部位。两种癌症在13%的病例中同时出现，在87%的病例中不同时出现。手术死亡率为3%。术后并发症以支气管肺充血为主。长期生存率与单纯手术治疗的支气管癌系列相似，一年生存率为70%，五年生存率为30%。这些结果应促使所有孤立性肺部病变被视为第二原发性癌症，并建议早期手术切除。
