女性肺癌183例临床观察

Analysis on 183 Female Cases of Lung Cancer

目的 :研究、探讨女性肺癌的临床特点。方法 :对1988年7月至1999年8月期间我院门诊及住院的女性肺癌患者中 ,有完整资料的183例进行临床表现、病理类型、TNM分期、肿瘤部位、预后以及误诊情况进行分析。结果 :女性肺癌以腺癌为主(109/183) ,多数患者(151/183)以咳嗽、血痰、胸痛、胸闷为首发症状 ,32例患者(32/183)以肺外表现为首发症状。结论 :临床医生应提高对女性肺癌的认识及警惕 ,对可疑患者及时作纤维支气管镜、CT、X片、核磁共振及痰涂片检查 。

Objective:To sum up the clinical characteristics of lung cancer in female.Method:Collecting the data of 183 female cases with lung cancer,which were from July 1988 to August 1999,to analyze their clinical manifestation,pathological type,TNM stage,tumor location,prognosis and misdiagnosis.Results:Of 189 female patients with lung cancer,most cases (109) suffered from adenocarcinoma.In most patients (151/183),the beginning symptoms often include cough,sputum with blood,chest pain and chest compress,but 32 cases (32/183) show some manifestations beyond lungs in the beginning.Conclusions:Doctors should pay attention to the lung cancer in female and attach importance to it.When suspected,the patients should be in time administered the related medical examinations including bronchoscope,CT,X-ray,MRI and sputum smear detection,which are the effective methods of early diagnosing the cancer.