44例青年肺癌纤支镜特点及临床分析

The Characteristic of the Lung Cancer of 44 Young Patients Observed by Fibrobronchoscopy and Clinical Analysis

目的:探讨青年肺癌纤支镜特点和临床特征。方法:回顾总结1995年1月～2000年10月经我科诊治的44例青年肺癌的临床资料。结果:纤支镜检查84.09％有阳性表现,15.91％未见异常。阳性表现中有直接征象者81.08％,胸片多见团块影;有间接征象者占18.92％,胸片团块影和网结影并见。青年肺癌胸片多以团块影为主(43.18％),其次为胸腔积液影(20.45％),片状模糊影占18.18％,双肺网结影为13.64％,肺不张影约4.55％。病理分型多为腺癌(50％),未分化小细胞癌居第2位(36.36％),鳞癌占13.64％。左肺癌(61.36％)多于右肺癌(25.00％),细支气管肺泡癌约13.64％。Ⅲb期、Ⅳ期(72.73％)多于Ⅱ期、Ⅲa期(27.27％)。结论:青年肺癌没有独特的症状,常易误诊为肺炎或肺结核。因此必须提高对青年肺癌的警惕性。

To study the clinical features and the characteristic of fibrobrochoscopy in young patients with lung cancer. Methods: We retrospectively summarized the clinical data of 44 young lung cancer patients enrolled between January 1995 and October 2000. Results: 84.09% of patients showed the positive results by fibrobronchoscopy, whereas the negative patients were 15.91%.81.08%of the positive patients had direct sign with mass opacities in x-ray. 18.92% with mass and reticular-nodular opacities had direct sign. The chest radiographs of young lung cancer patients presented basically mass opacities (43.18%), hydrothorax opacities (20.45%) .flaky opacities (18.18%) .double lobes reticular-nodular opacities (13.64 %), and atelectatic opacities (4.55%). According to pathologic classification, 50 % were pulmonary adenocarcino-ma, 36.36% were non-differentiated small-cell lung cancer, 13.64% were squamous cell carcinoma. 61.36% were left lung cancer, and 25% were right lung cancer. 13.64% were bronchiolo-alveolar carcinoma. Illb, IV stage (72.73%) were more than II, IIIa stage (27.27% ). Conclusion: The unique clinical symptoms haven't been found in young patients with lung cancer. They are prone to be misdiagnosed pneumonia or tuberculosis. Therefore, it is necessary to pay more attention to the lung cancer of young patients.