[T3期原发性肺癌的切除结果]

[Results of resection of T3 primary lung cancer].

作者信息

Maehara T, Ishiwa N, Tajiri M, Hayashi Y, Morohoshi T, Ishibashi M

机构信息

First Department of Surgery, Kanagawa Cancer Center, Yokohama, Japan.

出版信息

Kyobu Geka. 1998 Oct;51(11):911-4.

PMID:9789418

Abstract

Primary resection for lung cancer was performed in 711 patients. Extensive surgery was performed in 99 T3 lung cancer (13.7%). Overall 5-year survival rate was 31.7%. Overall hospital mortality was 7.5%. Mean 5-year survival was 34.9% for patients with complete resection, 0% for patients with incomplete resection (p < 0.05). In patients with complete resection, mean 5-year survival was greater in patients with N0 (39.1%) than in patients with N1 (23.5%) or N2 (27.7%), but there was no statistically significant difference. There was also no statistically significant difference between adenocarcinoma and squamous cell carcinoma. Mean 5-year survival rate for patients with invasion of chest wall was 34.1%, with invasion of mediastinal pleura was 37.5%, with invasion of main bronchus was 58.3%, with interlobular invasion was 18.7%. Complete resection of T3 lung cancer may yield long time survival.

摘要

711例患者接受了肺癌的初次切除术。99例T3期肺癌患者（13.7%）接受了广泛手术。总体5年生存率为31.7%。总体医院死亡率为7.5%。完全切除患者的平均5年生存率为34.9%，不完全切除患者为0%（p<0.05）。在完全切除的患者中，N0患者（39.1%）的平均5年生存率高于N1患者（23.5%）或N2患者（27.7%），但差异无统计学意义。腺癌和鳞状细胞癌之间也无统计学差异。胸壁受侵患者的平均5年生存率为34.1%，纵隔胸膜受侵患者为37.5%，主支气管受侵患者为58.3%，小叶间受侵患者为18.7%。T3期肺癌的完全切除可能带来长期生存。