中央型肺癌423例纤支镜检查分析

FIBEROBRONCHOSCOPIC FINDINGS IN 423 CASE OF CENTRAL TYPE OF LUNG CANCER

对423例中央型肺癌作纤维支气管镜检查,结果显示;本组病例以中年人多见56％,肿瘤多位于叶支气管76.8％,右肺55.3％,左肺41.4％,气管隆突癌3.3％。病理类型的鳞癌52.2％,低分化癌19.8％,腺癌13％,小细胞癌10.7％。纤支镜下主要特征:鳞癌和低分化癌以管内增殖型改变为主,小细胞癌和腺癌以浸润型为主。

Four hundred and twenty -three patients with centren type of lung cancer were examined with fiberonchoscopy. The results show sa follows: middle - aged patients were more common in this group 56%. the neoplasms were situated in the lobular bronch 76. 8%, right lung 55. 3% and left lung 41. 4% and trachea carina carcinoma 3. 3%.Pathologically four types were recopnized, they were squamous cell carcinoma 52. 2%, Poorly - differentiated carcinoma 19. 8%, adenocarcinoma 13%. Small cell carcinoma 10. 7%. squamous cell carrsinoma usuall appeared as exophytic growth. On the otherhand. small cell carcinoma and adenocarcinoma were prone to infiltration.