228例肺癌在纤支镜下的形态特征分析

Analysis of the Characteristics of Bronchogenic Carcinoma Under Fiberbronchoscopy of 228 Cases With Lung Cancer

目的 :了解肺癌在纤支镜下的形态特征。方法 :采用纤维支气管镜、病理学等方法对 2 2 8例患者进行了观察。结果 :经纤维支气管镜确诊支气管肺癌 2 2 8例 ,占同期纤支镜检查的 38.1%。其中 143例 (62 .7% )可见肿瘤直接征象 ,即新生肿物 ;75例 (32 .9% )可见肿瘤的间接征象。在可见肿瘤直接和间接征象的 2 18例中鳞癌 147例 (67.4 % ) ,腺癌 32例 (14.7% ) ,小细胞癌 14例(6.4 % ) ,大细胞癌 2例 (0 .9% ) ,肺泡癌 4例 (1.8% ) ,此外还有细胞类型不明确者 19例 (8.7% )。结论 :①肺腺癌患者男性仍稍多于女性 ;②肺癌是纤维支气管镜检查的重要适应征。

Objective:The characteristics of bronchogenic carcinoma under fiberbronchoscopy.Methods:Fiberbronchoscopy,pathological examination of biopsy specimens.Results:228 of bronchogenic carcinoma proved by fiberbronchoscopy and biopsy were reported.Direct signs of cancer ie.neoplastic masses of bronchogenic carcinoma were found in 143 patients(62.7%) and indirect signs in 75 cases(32.9%).In the 218 cases showing direct or indirect signs of cancer,squamous cell carcinoma was confirmed in 147 cases (67.4%),small cell lung cancer in 14 patients(6.4%) and adenocarcinoma in 32 subjects(14.7%).Large cell undifferentiated carcinoma,pulmonary alveolar carcinoma were confirmed in 2(0.9%).and 4 cases(1.8%)respectively.ln addition,the pathological findings in 19 patients did not conform to any cell type of the lung cancer.Conclusion:(1)Male cases were more than female in pulmonary adenocarcimoma;(2)The lung cancer was an important indication in the examination of fiberbronchoscopy.