徐启明 孙玉鹗 刘颖 印婉玲 徐启明(解放军总医院胸外科 北京市 100853)；孙玉鹗(解放军总医院胸外科 北京市 100853)；刘颖(解放军总医院胸外科 北京市 100853)；印婉玲(解放军总医院胸外科 北京市 100853) 中国肿瘤临床 2000 0 27 7


    关键词：肺部肿瘤；多原发癌；外科治疗 期刊 zgzllc 0 论著 fur -->


    

摘要 目的：总结肺癌患者多原发恶性肿瘤的诊断和治疗经验。方法：分析肺癌患者多原发恶性肿瘤45例的临床病理资料，占同期手术病理证实1 836例肺癌的2.5%。男38例，女7例。多原发肺癌16例，占0.9%，其中15例为双原发癌，1例为三原发癌；肺癌与其他脏器恶性肿瘤29例，占1.6%，其中27例为双原发恶性肿瘤，2例为三原发癌。结果：多原发肺癌患者术后3和5年生存率为60.0%(6/10)和44.4%(4/9)；发生在肺癌前的其他脏器恶性肿瘤患者，肺癌切除术后3～5年生存率为69.2%(9/13)和36.4%(4/11)。手术疗效明显高于非手术治疗组。结论：随着医学的发展，医患对多原发癌认识的不断增强，其早期诊断及检出率的不断提高，并采取积极的手术治疗，将会使多原发癌患者获得更加理想的疗效。

Multiple Primary Malignant Tumors in Patients with Lung Cancer

Xu Qiming Sun Yue Liu Ying et al

    (Department of Thoracic Surgery,General Hospital of PLA,Beijing)

Abstract Objective:To study the diagnosis and treatment of multiple primary malignant tumors in patients with lung cancer.Methods:Forty-five cases of multiple primary malignant tumors in patients with lung cancer consisted of 2.5% of 1836 cases of lung cancer.There were 38 males and 7 females.Sixteen (0.9%) patients had multiple primary bronchogenic carcinomas.15 cases of them had double lesions and 1 had triple lesions.In 29 (1.6%) cases of lung cancer,27 cases had double primary malignant tumors and two cases had triple primary malignant tumors.Results:The postoperative 3-,5-year survival rates in patients with multiple primary bronchogenic carcinoma were 60.0%(6/10),44.4% (4/9) respectively,while the postoperative 3-,5-year survival rates in patients had multiple primary malignant tumors of other organs prior to the lung cancer resection were 69.2% (9/13),36.4% (4/11) respectively.We found that the survival rate of the operative group was higher than that of non-operative group.Conclusion:With the progression of medicine,both the surgeons and patients are aware of the early diagnosis and treatment of multiple primary malignant might improve the therapeutic effect in these patients.

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