Zuo D L, Xu J Z, Chen X J, Fu Y, Cheng X J
Beijing Pulmonary Tumor Institute.
Zhonghua Zhong Liu Za Zhi. 1988 Jan;10(1):42-4.
1168 patients with primary carcinoma of lung had been treated by surgery in our hospital from 1976 to 1985. Among these patients we found 7 patients with second primary lung cancer. The incidence is 0.6% in this series. The criteria of the second primary lung cancer are: different histological type; synchronous lesion located in the contralateral lung or in different lobes or segments of the ipsilateral lung which must all be stage I; or prolonged interval between the initial and second resection (metachronous lesions), but the initial lesion must be proved as stage I. Lobectomy was the most common procedure for the initial and second resections. The result of the treatment was satisfactory with one patients surviving 6 years and 6 months. There was no operative mortality or complications. We consider that careful diagnosis is important and continued follow-up is necessary for all bronchogenic carcinomas.
1976年至1985年期间，我院对1168例原发性肺癌患者进行了手术治疗。在这些患者中，我们发现7例患有第二原发性肺癌。本系列中的发病率为0.6%。第二原发性肺癌的标准为：不同的组织学类型；同步病变位于对侧肺或同侧肺的不同叶或段，且必须均为I期；或初次切除与二次切除之间间隔延长（异时性病变），但初次病变必须被证实为I期。肺叶切除术是初次和二次切除最常见的手术方式。治疗结果令人满意，1例患者存活了6年6个月。无手术死亡率或并发症。我们认为，对于所有支气管源性癌，仔细诊断很重要，持续随访是必要的。
