肺癌肉瘤12例临床分析

目的：了解现癌肉瘤的临床、病理特点，探讨其可能的组织学来源及合理的治疗方式。方法：对１２例肺癌肉瘤患者的临床资料进行回顾性分析。结果：１２例患者均行手术治疗，手术切除率、手术并发症发生率及手术死亡率分别为１００．０％、１６．７％和８．３％。光镜下表现为癌与肉瘤成分混合存在，癌的成分及肉瘤的成分多种多样。本文组患者的术后５年生存率为３３．３％，已证实死亡的５例患者除１例死于手术后并发症外，其余均死于

Pulmonary Carcinoma (A Report of 12 Cases)

ObjectiveToevaluate the clinical and pathological characteristics and origin of pulmonary carcinomaand find reasonable mode of treatment． MethodsThe clinical materials of 12 patientswith pulmonary carcinoma were retrospectively studied． ResultsAll the 12 patientswere treated with operation． The resectibility，morbidity and 30－day mortality rateswere 100．0％，16．7％ and 8．3％ respectively． Microscopically the tumors werecomposed of both carcinomatous and sarcomatous elements． The carcinomatous elements andthe sarcomatous elements were various． The postoperative 5－yr survival rate was 33．3％．In all the 5 died patients，four died of distant metastasis，only one died of operativecomplication． ConclusionPulmonary carcinosarcoma is a malignant disease with lowermalignancy than that of general lung cancer． Surgical resection is the first preferabletreatment． The surgical indications should include the patients，with stage 0，Ⅰ，Ⅱ，Ⅲaor even some Ⅲb or Ⅳ tumors． Its histological origins mostly are epithelial butoccasionally may be non－epithelial．