Krecklow B, Krecklow K
Z Erkr Atmungsorgane. 1986;166(1):69-75.
All 489 cases of bronchogenic carcinoma reported during the years 1982 and 1983 in the county of Neubrandenburg were analysed and compared with an analogous examination of the period from 1962 to 1969. In spite of a considerable shortening of delay between first symptoms and final diagnosis there was a shift to a greater proportion of more advanced tumor stages III and IV. Consequently, the rate of patients in whom resection could be performed, decreased. In general, patients detected by mass x-ray examinations are in an earlier stage. The analysis of clinical symptoms showed that especially in cases with obstructive pneumonia a careful examination is mandatory to early diagnosis of bronchogenic carcinoma with central localization.
对1982年和1983年新勃兰登堡县报告的489例支气管癌病例进行了分析,并与1962年至1969年期间的类似检查进行了比较。尽管从首次出现症状到最终确诊的延迟时间大幅缩短,但肿瘤进展至更晚期(III期和IV期)的比例却有所增加。因此,能够进行手术切除的患者比例下降。一般来说,通过大规模X光检查发现的患者处于较早阶段。对临床症状的分析表明,特别是在阻塞性肺炎病例中,必须进行仔细检查以便早期诊断中央型支气管癌。