以转移灶症状为首发症状的肺癌44例分析

Lung cancer presenting the initial symptom of transfer focus: Analysis of 44 cases

本文以转移症状为首发症状的肺癌44例,占同期肺癌17.6%,其中骨转移占40.9%,纵隔转移25％,颈部淋巴结转移15.9％,脑转移9％,下颌淋巴结、腹腔和腹壁转移占6.8％,杵状指(趾)为首发症1例占2.2％。几乎所有病例都有误诊,误诊为何种疾病与转移的部位有关,癌转移部位与组织类型有关。疗效及预后差,有效率(CR+PR)为35.8％,生存平均为6.5月,中位生存6个月,脑转移症为首发症平均生存4个月。

Forty-Four patients with lung cancer presenting the initial symptom of transfer focus accounted for 17.6% of those with lung cancer admitted to our hospital for the corresponding period, of which bone tranfer made up 40.9%, mediastinum transfer 25%, neck-lymphnodc transfer 15.9%,brain transfer 9%,mandibular lymphnodc, abdominal cavity and abdominal wall transfer 6.8% ,and digilus hippocratieus 2.2% .All these cases of lung cancer was mis-diagnosed .The misdiagnosis was related to the site of transer in the body and that of cancer transrcr to the type of tissue. The curative effect and prognosis were unfavourable, only with a response rale (CR+PR) of 35.8%. The average survival and median survival for the 44 patients were 6.5 months and 6 months respectively, while the average survival for those presenting the initial symptom of brain transfer was 4 months.