局限型细支气管-肺泡癌的外科治疗(附31例报告)

Surgical Treatment of Solitary Bronchioalveolar Carcinoma (Report of 3l Cases)

作者报告了经手术切除病理确诊的局限型肺泡癌31例，男19例，女12例。12岁以上25例（80．6％），8例无症状而经体检发现。手术切除30例，术后5年生存率为44．4％。认为肿块阴影内空泡征、细支气管充气征和胸膜皱缩征为肺泡癌的X线较具特征性表现，且以CT薄层扫描较易发现。本病治疗以手术为主，术后放疗、化疗对提高生存率似有一定帮助。

Thirty-one casees (male l9, female l2 )of solitary bronchioaveolar careinorna pathlogically proven were repotted, there were 25 cases (80.6% ) whase op were over 50, 8 cases with any symptom were found throught physieal examination.30 cases were ested and the 5 year lerval rate was 44.4%..The author consider that air bronchogram, vacuole sign and pleural ratraction were chareteristics of bronchioaveola careinoma and thin layer CT scaning was more selisihve than conventional X - ray to depicting them. The surgical treatment is the choice and the postoperative radiotherapy or chemetherapy is halpful to increasting the sirvoval rate.