219例肺癌就诊原因分析

An Analysis of Presenting Symptom in 219 Cases with Lung Cancer

[目的]探讨肺癌患者就诊的原因及与肺癌分期的关系。[方法]收集2000年北京协和医院住院治疗的肺癌患者219例的临床资料,其中鳞癌共55例、腺癌109例、小细胞肺癌21例、不能分型34例。[结果]肺癌患者就诊原因多种多样,分为四类:体检发现、单纯咳嗽、胸部其他症状、胸外症状。其中体检发现为54例(24.7%),单纯咳嗽为67例(30.6%)。肺癌不同分期患者的就诊原因有显著性差异(P<0.01)。鳞癌中分期不同就诊原因无显著性差异(P>0.05),而腺癌中分期不同就诊原因有显著性差异(P<0.01)。[结论]肺癌分期不同就诊原因明显不同,早期肺癌中大部分无任何症状或仅表现出咳嗽,提示了肺癌筛查在发现早期肺癌中十分重要。

To analyze presenting symptom of lung cancer and the relationsship between pre-senting symptom and TNM stage.Two hundred and nineteen patients with lung cancer admitted to Peking Union Hospital in2000were analyzed:55squamous cancer,109adenocarcinoma,21small cell lung cancer,and34undertermined.Many kind of presenting symptoms were reported,which were classi-fied into four groups:group1,detected by physical examination2,cough only,3,other pulmonary symptom,and4,extra-pulmonary symptom.Group1,54cases(24.7%)and group2,67cases(30.6%).It was found that pre-senting symptom was significantly different between the patients grouped according to TNM stages,and in adenocarcinoma.[Conclusions]Majority of lung cancers are asymptomatic.It shows that screening plays im-portant role for early detection in lung cancer.