局限性细支气管肺泡细胞癌的外科治疗(附32例临床病例分析)

Surgical Treatment of Solitary Bronchiole-alveolar Carcinoma (An Analysis of Thirty-two Cases)

本文报道我所自1956～1984年经外科手术切除,并由病理证实的局限性细支气管肺泡癌32例,占同期原发性支气管肺癌2.4%。细支气管肺泡癌无典型症状,X线图像多变,肿块边界清楚或不清楚,有分叶或毛刺。值得提出的是肺泡癌的胸膜皱缩征占58.5%,痰脱落细胞检查阳性率为34.4%。临床上易误诊为结核、炎症等。本组无淋巴结转移者5年生存率为41.6%,较其它原发性肺癌为佳。

Since 1956 to 1984, thirty-two cases pathologically proved solitary bronchiolo-alveolar carcinoma (BAC) were reported. It was amounted 2.4% of all primary bronchogenie carcinoma admitted to our institute and hospital during the same period. BAC has less typical symptomes and variable x-ray evidence. The border of tumor could be defined or not, indented or lobulated. It was notable that puckered sign amounted 58.5% of positive sputum cytology was 34.4%. That is why BAC is usually misdiagnosed as pulminary tuberculosis or pneumonia in clinic. 5 years survival rate of non-metastasis to lymph node was 41.6%.