局限型细支气管肺泡细胞癌的诊断及外科治疗

The Diagnosis and Surgical Treatment of Localized Bronchioloalveolar Carcinoma

目的 探讨局限型细支气管肺泡细胞癌的诊断和外科治疗。方法 回顾性分析 43例局限型细支气管肺泡细胞癌的临床表现和外科治疗的效果。结果 43例患者在术前均未明确诊断。手术后中位生存期为 5 6.4个月 ;行标准的淋巴结清扫术者 ,中位生存期为 79.8个月 ,其中行术后化疗者中位生存期为 81.3个月。结论 局限型细支气管肺泡细胞癌在临床上缺乏特异性表现 ,一般很难做出明确的术前诊断。在治疗上仍应实行标准的肺癌根治术 ,手术后辅加化疗 ,可延长患者生存期。

Objective To study the diagnosis and surgical treatment of localized bronchioloalveolar carcinoma.Methods 43 cases of localized bronchioloalveolar carcinoma were retrospectively analysed.Results All of the 43 cases had no definite diagnosis in preoperation.The median survival time was 56.4 months after operation and 79.8 months after pulmonary lobectomy and radical lymphatic nodes dissection.In the later,the median survival time was 81.3 months in that received the postoperative chemotherapy.Conclusion The clinical manifestation are not special in localized bronchioloalveolar carcinoma.The best therapy is pulmonary lobectomy and radical lymphatic nodes dissection.The postoperative chemotherapy is adviced.