Huang C, Kitano M, Shindo T, Nagasawa M, Suzumura Y
Department of Thoracic Surgery, Tenri Hospital, Nara, Japan.
Kyobu Geka. 1995 Feb;48(2):95-9.
One hundred and ninety one women were diagnosed with lung cancer at our hospital. This comprised 23.7% of all lung cancer cases. Smoking habits were significantly lower in female lung cancer. Adenocarcinoma is the most common histological type of female lung cancer (64.2%). The prognoses of asymptomatic cases detected by regular examination were significantly better than those of symptomatic cases. Among resectable cases of either adenocarcinoma or squamous cell carcinoma, there were no significant differences between the prognosis for women and that for men. However, the prognosis for nonresectable cases of adenocarcinoma in women was significantly better in the 2-year survival rate (30.8%) than the prognosis for such cases in men. Since the periphery type is the most common site of adenocarcinoma in women, educating women, especially those in the high-risk group, and persuading them to undergo regular examinations are important step to increasing early-stage detection and cure.
我院有191名女性被诊断患有肺癌。这占所有肺癌病例的23.7%。女性肺癌患者的吸烟习惯明显较少。腺癌是女性肺癌最常见的组织学类型(64.2%)。通过定期检查发现的无症状病例的预后明显好于有症状病例。在可切除的腺癌或鳞状细胞癌病例中,女性和男性的预后没有显著差异。然而,女性不可切除腺癌病例的2年生存率(30.8%)明显好于男性此类病例的预后。由于周围型是女性腺癌最常见的部位,对女性,尤其是高危人群进行教育,并说服她们接受定期检查,是提高早期发现和治愈率的重要步骤。