重庆地区无症状性肺癌的临床分析

Clinical analysis of patients living in Chongqing City with asymptomatic pulmonary carcinoma

目的了解无症状性肺癌的临床特点及早期发现.方法对我院1998年9月～2004年5月间为重庆地区健康体检中发现的无症状肺癌患者68例行回顾性分析.结果男女比例为10∶1;年龄28～78岁,平均52岁;吸烟者56例(82.4%),有家族史者42例(61.8%),既吸烟又有肿瘤家族史38例(55.9%).周围型肺癌65例(95.6%),中央型3例(4.4%),腺癌38例(55.9%),鳞癌18例,(26.5%);Ⅰ期27例(39%),Ⅱ期38例(55.9%),Ⅲ期3例(4.4%).病史回顾性调研:患者毫无预兆者43例(63.2%),有预兆者25例(36.8%).结论无症状性肺癌中年男性多见,以周围性肺腺细胞癌和鳞状细胞癌为主,与吸烟和家族史关系密切.

ObjectiveTo investigate the clinical characteristics and the way of discovery in early stage.Methods68 cases with asymptomatic pulmonary carcinoma living in Chongqing City who were discovered within health checkup were retrospectively analyzesed. ResultsThere were 62 males and 6 females,ages ranging from 28 to 78 years with an average of 52 years. In all patients,there were 56 cases (82.4%) with cigarette using history, 42 cases (61.8%) with family history of pulmonary carcinoma and 38 cases(55.9%) with cigarette using history and family history of pulmonary carcinoma. 65 cases (95.6%) were with peripheral type of lung cancer, 3 cases(4.4%) were with central type. Among these patients, 38 cases with adenocarcinoma ,18 cases with squamous carcinoma. There were 27 cases (39%) in Stage I, 38 cases(55.9%) in Stage II and 3 cases(4.4%) in Stage III. There were 43 cases (63.2%) without symptom while 25 cases(36.8%) with symptom of pulmonary carcinoma.ConclusionMost of patients with asymptomatic pulmonary carcinoma were middle-aged male and were adenocarcinoma or squamous carcinoma in cell type and had closed relationship with cigarette using history and family history. [