孤立性肺转移瘤的外科治疗(附17例分析)

Surgical Treatment ofulmonary Solitary Metastatic Tumor.Analysis of 1 7 Cases

本文报告了自1975年6月～1990年12月对17例孤立性肺转移瘤手术治疗的初步临床结果。认为,其原发瘤来自女性生殖系统者居多,占65％。原发肿瘤术后定期胸部X线检查对本病诊断有决定性意义。手术治疗的重要问题是对病人的选择。对原发肿瘤组织学条件好,治疗后局部情况稳定,肺内转移局限并能耐受手术者,手术切除是有益的。本组3年、5年生存率均为66.6％。并提出了对肺转移瘤的切除做为肿瘤的减量或减症的手术概念。转移瘤的肺门,纵隔累犯明显影响预后。

From June 1975 to December 1990, 17 patients with pulmonary solitary metastasis were treated by surgical operations. In about 65% of them, the primary tumors were from female genital system. Routine chest X-ray was the principal diagnostic means for patients who previously had their primary tumors removed by surgery. Selection of patients based on certain factors is very important for surgical treatment. Pathologically well-differentiated primary tu- mor, primary site under control, limited lung metastasis and good general condition were favorable factors for surgical treatment. Both the 3- and 5-year survival rates were calculated as 66.6%. In cases when secondary tumors invaded the hilus and mediastinum, the prognosis was poor.