1485例原发性肺癌病例分析

The analysis of clinical characteristics of 1,485 patients with primary bronchogenic carcinoma of lung

目的:探讨近10年原发性肺癌病例的临床病理特征变化及意义。方法:对2001年1月至2010年12月1 485例原发性肺癌病例的临床及病理资料进行收集,分析性别、年龄、发病部位、病理类型等方面的特征及其动态变化。结果:1 485例肺癌中男性1 119例,女性366例。发病年龄为24～90岁,平均年龄59岁。左肺664例,右肺821例。鳞癌705例,腺癌511例,小细胞癌83例,低分化癌116例,腺鳞癌13例,肉瘤样癌13例,其它类型44例。结论:男性患肺癌比例明显高于女性,10年来患肺癌中女性发病比例明显升高(P<0.05)。肺癌发病右侧多于左侧(P<0.05)。病变类型以鳞癌为主。不同性别患肺癌的病理类型有所不同,男性以鳞癌为主,女性以腺癌为主(P<0.05)。

Objective：To study the clinical and pathological characteristics of patients with primary bronchogenic carcinoma of the lung over ten years.Methods：1,485 cases who had made a definite diagnosis from 2001 to 2010 were grouped.Retrospective analysis was carried out to compare the clinico-pathologic features.Results：Lung cancer was identified in 1,119 men and 366 women.The occurrence ratio of male to female was 3.06：1.The age of onset is from 24 to 90.The mean age was 59.The study had 664 cases in the left lung,and 821 cases in the right.A total of 705 cases were squamous cell carcinoma and 511 cases were adenocarcinoma.Conclusions：The incidence of lung cancer was higher in male than in female patients.The incidence of lung cancer in females were heightened（P0.05）.The incidence of lung cancer was higher in the right than in the female patients（P 0.05）.The incidence of squamous cell carcinoma was higher than the other category.Squamous cell carcinoma is the main histological type in male patients,and adenocarcinoma is the main histological type in female patients.