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135例早期支气管肺癌手术治疗效果分析

[Analysis of surgical therapeutic effects in 135 cases of early bronchogenic lung cancer].

作者信息

Xu Q M

机构信息

General Hospital of People's Liberation Army, Beijing.

出版信息

Zhonghua Wai Ke Za Zhi. 1993 Mar;31(3):134-7.

PMID:8223019
Abstract

135 cases of early bronchogenic carcinoma (T1N0M0) out of 864 operated and pathologically confirmed ones were reported, with an incidence of 15.6%. There were 24 females and 111 males. The ages ranged 23-83 with a mean value of 58.7. There was no operative death. Pathological classification showed squamous cell carcinoma 43.7%, adenocarcinoma 20.0%, bronchiolealveolar carcinoma 25.9%. The postoperative follow-up study covered a period of 1-21 years. The 5-year survival rate was 70.6%, 76.2% and 83.3% respectively. Among this series 42.2% were of central type and 57.8% peripheral type. Their 5-year survival rates were 64.7% and 83.0% respectively, with significant difference (P < 0.01). The clinical features, early diagnosis, and surgical therapeutic effects of early bronchogenic carcinoma and multiple primary lung cancer are discussed.

摘要

报告了864例接受手术并经病理确诊的早期支气管源性癌(T1N0M0)患者,共135例,发病率为15.6%。其中女性24例,男性111例。年龄范围为23至83岁,平均年龄为58.7岁。无手术死亡病例。病理分类显示鳞状细胞癌占43.7%,腺癌占20.0%,细支气管肺泡癌占25.9%。术后随访时间为1至21年。5年生存率分别为70.6%、76.2%和83.3%。在该系列中,中央型占42.2%,周围型占57.8%。它们的5年生存率分别为64.7%和83.0%,差异有统计学意义(P<0.01)。讨论了早期支气管源性癌和多发性原发性肺癌的临床特征、早期诊断及手术治疗效果。

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