青年人肺癌62例临床分析

A Clinical Analysis of 62 Young Patients with Lang Cancer

目的探讨青年人肺癌的临床病理特点,为其早期诊断提供理论依据。方法对我院收治的资料较完整的62例青年人肺癌的临床资料进行回顾性分析。结果青年人肺癌男女比例为1.70∶1;病理类型以腺癌最多(51.6%),鳞癌次之(30.6%);临床分期以Ⅲ、Ⅳ期居多,占87.1%;手术切除率低;1年生存率为23.3%;误诊率为50.0%。结论青年人肺癌临床表现变化多样,缺乏特异性,误诊率高,确诊时多属晚期,预后差。重视青年人肺癌的早期表现,充分利用各种检查手段并综合分析,有助于青年人肺癌的早期诊断及治疗。

Objective To study the clinico-pathologic characteristics of 62 young patients with lung cancer.Methods sixty two young patient with lung cancer who had detailed clinical data were studied retrospectively.Results The occurrence ratio of male to female was 1.70∶ 1.Adenocarcinoma was accounted for 51.6% and it was the main histological type of lung cancer in the youth,followed by squamous cell carcinoma（30.6%）.The disease at advanced stage was most manifested（87.1%） in the young patients.The rate of acceptable surgical resection was low.The one-year survival rate was 23.3%.Its misdiagnosis rate was 50.0%.Conclusion The clinical manifestation of young patients with lung cancer is complicated and lacks specificities.It tends to be misdiagnosed.The disease at advanced stage is common and the prognosis is poor.It should be paid more attention to the symptoms of the early-stage patients and should utilize various kinds of examination sufficiently so as to make the confirmation of the diagnosis and conduct reasonable treatment in early stage.