空洞性非小细胞肺癌的放射治疗——附43例分析

RADIATION THERAPY FOR CAVITATED NON-SMALL CELL LUNG CANCER——Analysis of 43 cases

非小细胞肺癌患者中,空洞性肺癌被认为预后较非空洞性肺癌差,出血和感染机会多。为进一步了解空洞性非小细胞肺癌的预后,合并症及失败原因,本文分析了我院1974年1月至1982年12月收治的43例空洞性非小细胞肺癌。病例选择条件为;疗前有细胞学或病理证实为非小细胞肺癌。

Fourty-three consecutive patients with cavitated non-small cell lung cancer treated by radiation therapy from January 1, 1974 to December 31, 1982 was reviewed. 319 patients with non-small cell lung cancer without cavitation during the same period were used as control. The 1, 3, 5 year survival rates for the cavitated group were 14%, 7% and 2.3% and those of the non-cavi-tated group were 50%, 11% and 6.5% respectively. The median survival of the cavitated was 10 months and non-cavitated was 12 months. The prognosis of the cavitated group was worse than that of non-cavitated. No difference was found in incidences of massive hemoptysis and serious infection in both groups. It is betieved that lung cancer with cavitation is amenable to radiotherapy.