青年肺癌115例临床诊治分析

Clinical analysis and diagnostic of 115 patients with lung cancer

目的分析青年肺癌临床误诊原因、病理特点、治疗方式及疗效。方法 2002年1月～2009年12月年收治青年肺癌患者115例。本研究患者中56例曾误诊。手术治疗42例,68例因不能手术或不愿手术而选择化学治疗或放射治疗,2例服中药治疗,3例未做任何治疗。结果手术治疗42例中无一例死亡,治疗过程中有12例出现转移,其中肺转移1例,肝转移2例,脑转移6例,脊椎转移3例;1年、3年和5年生存率分别为61.2%、37.3%和11.3%。结论青年肺癌误诊率高,病理分型以小细胞肺癌和腺癌多见,恶性程度较高,预后较差,但综合治疗近期效果良好,早期发现,早期诊断,早期综合治疗尤为重要。

Objective To analyze the misdiagnostic causes,pathological characteristics,therapeutic pattern and efficacy of lung cancer in the young.Methods 115 patients with lung cancer from Jan 2002 to Dec 2009 were treated in our hospital.In this study,56 cases have been misdiagnosed.There were 42 patients accepted surgical treatment,and 68 cases practised radiotherapy or chemotherapy,and 2 cases choosed traditional Chinese medicine therapy,and 3 cases gived up.Results 42 cases were treated with surgical treatment with no death.There were 12 case metastasized in the course of therapy.The 1-year,3-year,and 5-year survival rates were 61.2%,37.3% and 11.3% respectively.Conclusion The lung cancer in the young were easily misdiagnosed,and the small cell lung cancer were common pathological type.It is extremely important for these patients to acquired early diagnosis and early appropriate therapy.