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肺癌的原发肿瘤部位:评估与管理。

Primary tumor location in lung cancer: the evaluation and administration.

机构信息

School of Medicine and Life Sciences, Shandong First Medical University, Jinan, Shandong 250117, China.

Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong 250117, China.

出版信息

Chin Med J (Engl). 2021 Nov 15;135(2):127-136. doi: 10.1097/CM9.0000000000001802.

Abstract

Lung cancer continues to be the leading cause of cancer-related death in the world, which is classically subgrouped into two major histological types: Non-small cell lung cancer (NSCLC) (85% of patients) and small-cell lung cancer (SCLC) (15%). Tumor location has been reported to be associated with the prognosis of various solid tumors. Several types of cancer often occur in a specific region and are more prone to spread to predilection locations, including colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, cervical cancer, bladder cancer, lung tumor, and so on. Besides, tumor location is also considered as a risk factor for lung neoplasm with chronic obstructive pulmonary disease/emphysema. Additionally, the primary lung cancer location is associated with specific lymph node metastasis. And the recent analysis has shown that the primary location may affect metastasis pattern in metastatic NSCLC based on a large population. Numerous studies have enrolled the "location" factor in the risk model. Anatomy location and lobe-specific location are both important in prognosis. Therefore, it is important for us to clarify the characteristics about tumor location according to various definitions. However, the inconsistent definitions about tumor location among different articles are controversial. It is also a significant guidance in multimode therapy in the present time. In this review, we mainly aim to provide a new insight about tumor location, including anatomy, clinicopathology, and prognosis in patients with lung neoplasm.

摘要

肺癌仍然是全球癌症相关死亡的主要原因,经典地分为两种主要的组织学类型:非小细胞肺癌(NSCLC)(85%的患者)和小细胞肺癌(SCLC)(15%)。肿瘤位置已被报道与各种实体瘤的预后相关。一些类型的癌症通常发生在特定的区域,更容易扩散到偏好的部位,包括结直肠癌、前列腺癌、胃癌、卵巢癌、宫颈癌、膀胱癌、肺癌等。此外,肿瘤位置也被认为是慢性阻塞性肺疾病/肺气肿合并肺肿瘤的一个危险因素。此外,原发性肺癌位置与特定的淋巴结转移有关。最近的分析表明,原发性位置可能会影响转移性非小细胞肺癌的转移模式,这是基于大量人群的研究。许多研究都将“位置”因素纳入了风险模型。解剖位置和叶特异性位置对预后都很重要。因此,根据不同的定义,明确肿瘤位置的特征对我们来说很重要。然而,不同文章中关于肿瘤位置的定义不一致,这是有争议的。在目前的多模式治疗中,这也是一个重要的指导。在这篇综述中,我们主要旨在提供关于肿瘤位置的新见解,包括肺癌患者的解剖、临床病理学和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0682/8769119/f845f9be317c/cm9-135-127-g001.jpg

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