35岁以下年轻人支气管肺癌(附47例临床X线分析)

我院从1961～1983年发现35岁以下年轻人支气管肺癌47例,发病年龄为16～35岁,20岁以下者4例。肿瘤发生在右肺者28例(60％),在左肺者19例(40％)。临床症状咳嗽者36例,咯血者21例,胸痛者29例。47例均经病理学证实,有末分化癌22例,腺癌11例,鳞癌4例,末分化癌和腺癌较为多见(70.2％),鳞癌较少见(8.5％)。在所有病例中37例有肺门、纵隔、腋窝等淋巴结及其它远处转移(78％)。总之,年轻人肺癌以未分化癌及腺癌多见,生长迅速,较早转移,较快死亡为其特点。

Bronchogenic carcinoma in the young adults——A radiologic and clinical analysis of 47 cases

From 1961 to 1983, there were in our hospital 47 cases of lung cancer in young adults below 35 years of age, their ages being ranged from 16 to 35, including 4 cases below twenty.The lesion, was situated in the right lung in 28 cases (60%) and in the left lung in 19 cases (40%) . Symptoms appeared first as cough in 36 cases, hemoptysis in 21 cases and chest pain in 29 cases.Histopathologic diagnosis was cstablished in all these 47 cases.There were 22 cases of undiffcrcntiatcd carcinoma, 11 of adcnocarcrinoma and 4 of squamous cell carinoma. It is to be noted that there was a predominance in the undiffcrentiated carcinoma and adenocarcinoma (totally about 70.2%) over the squamous cell carcinoma (8.5%) . In this scries there were altogether 37 cases (78%) with hilar, mediastinal and/or axillary lymphnodc metastasis.It appears that lung carcinoma in young adults is characterized by rapid growth of the carcinoma, early metastasis and death.