肺肿瘤患者临床病理特征回顾性分析

Retrospective analysis of clinical pathology characteristic in patients with lung neoplasms

目的:分析肺肿瘤患者的临床流行病学及临床病理特征。方法:回顾性分析中国医学科学院肿瘤医院2008-01-2008-12住院的1 729例肺肿瘤患者资料,包括居住地、年龄、性别、病理类型及HBV感染状况等信息。结果:1 729例肺肿瘤患者中男1 179例,女550例;肺癌患者1 474例,良性肿瘤228例,诊断不清的患者27例;95.72%的患者来自北方地区;肺癌患者中656例(44.50%)为腺癌,鳞癌和SCLC分别占33.24%和9.50%;68.29%的女肺癌患者为腺癌;良性肿瘤中最常见的为炎性肿块,共67例(29.39%);共55.29%(941/1 702)的肺肿瘤患者病变部位位于右肺,尤其是右肺上叶;肺肿瘤患者的HBV感染率相对稳定,为4.92%,且与病理类型无关。结论:肺肿瘤在男性患者中高发,病变部位最常见于右肺,尤其是右肺上叶,腺癌已经成为最常见的病理类型。

OBJECTIVE： To analyze the clinical pathology characteristic of patients with lung neoplasms.METHODS： A total of 1 729 patients with lung neoplasms in cancer hospital,chinese academy of medical sciences from Jan.2008 to Dec.2008 were analyzed retrospectively including residence,age,gender,pathological types and HBV results.RESULTS： There were 1 179 male patients and 550 female patients in 1 729 lung neoplasms patients,including 1 474 cases of lung cancer patients,228 were benign and 27 cases of patients with unclear diagnosis.Totally 95.72% of the patients from the northern region of China.As to the pathological types,656 patients（44.50%） were adenocarcinoma;squamous cell carcinoma and SCLC,respectively,accounting for 33.24% and 9.50%.And 68.29% of female lung cancer patients with adenocarcinoma.The most common pathological types of benign patients were inflammatory mass,totally 67 cases（29.39%）.A total of 55.29%（941/1 702） of lung lesions of all lung neoplasms patients were in right lung,especially the right upper lobe.The HBV infection rate was relatively stable at 4.92% in lung neoplasms patients and didn＇t matter with the pathological types.CONCLUSIONS： Male patients with high incidence of lung neoplasms,and the most common lesions in the right lung,especially in right upper lobe.Adenocarcinoma has become the most common pathological type in lung cancer.