青年肺癌与老年肺癌的临床及病理表现对比分析

Comparison of clinical and pathological characteristics between the elder and younger patients with lung cancer

目的:了解老年肺癌与青年肺癌的临床和病理特征的差异。方法:回顾性分析我院2007年～2008年住院肺癌患者,对符合条件患者的年龄、性别、组织分类、临床症状等指标进行比较。结果:老年组中男性365例,女性52例,鳞癌245例,腺癌94例,小细胞肺癌47例。青年组中男性129例,女性88例,鳞癌63例,腺癌92例,小细胞肺癌34例。结论:①老年组中女性患者的比例较青年组低;②青年组组织分型以腺癌为主,分期较晚,转移率高,预后较差;③老年组表现症状较复杂,组织分型以鳞癌为主,合并症较多。

Objective：To compare the difference of the clinical and pathological characteristics between the elder（age≥70） and the younger（age≤40） patients with lung cancer.Method：All the lung cancer patients treated in the medical oncology department from 2007 to 2008 was retrospective analysis in this study.The condition of age,sex,histological types,and clinical symptoms were compared in the coincided patients.Result：There are 365 men and 52 women in the elder group,245 are squamous,94 patients are adenocacinoma,and 47 patients are small cell lung cancer in these patients.There are 129 men and 88 women in the younger group,and 63 patients are squamous carcinoma,92 patients are adenocarcinoma,34 patients are small cell lung cancer.Conclusion：① There were more male patients in the elder group compared with the younger.② The main pathological type was denocarcinoma in the younger patients,and the patients were suffered more high metastasis and late stages and poor prognosis.③ In the older lung cancer patients,The symptom was more complex.and the ratio of squamous carcinoma and combined therapy were higher than the younger groups.