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以脑转移症状为首发表现的老年肺癌36例临床分析
引用本文:周黎明 朱建军. 以脑转移症状为首发表现的老年肺癌36例临床分析[J]. 实用老年医学, 1998, 12(5): 219-220
作者姓名:周黎明 朱建军
作者单位:解放军第四二二医院肿瘤科,解放军第一军医大学南方医院呼吸科,解放军第一七四医院肿瘤科
摘    要:目的探讨以脑转移为首发表现的老年肺癌的临床特点。方法分析1986~1996年收治的以脑转移症状为首发表现的36例老年肺癌患者。结果腺癌、小细胞肺癌较鳞癌多,外周型肺癌远多于中央型,非手术组中位生存期5个月,手术组中位生存期14个月,误诊率达77.8%。结论本形式肺癌误诊率高,预后差,放疗、化疗有一定帮助,脑转移病灶能手术切除的患者预后相对较好

关 键 词:肺癌  脑转移  首发表现

Clinical analysis of 36 elderly lung cancer patients with first symptoms of brain metastases
Zhou Liming,Fu Xingchen,Yao Jianli,et al.. Clinical analysis of 36 elderly lung cancer patients with first symptoms of brain metastases[J]. Practical Geriatrics, 1998, 12(5): 219-220
Authors:Zhou Liming  Fu Xingchen  Yao Jianli  et al.
Affiliation:Zhou Liming,Fu Xingchen,Yao Jianli,et al.Department of Oncology,NO.422 Hospital of PLA,Zhanjiang 524005
Abstract:Objective To explore the clinical characteristics of elderly lung cancer patients with first symptoms of brain metastases. Methods The authors analysed the records of 36 elderly lung cancer patients who manifested firstly by brain metastases hospitalized between 1986 and 1996. Results Adenocarcinoma and small cell lung cancers were more common than squamous lung cancer;peripheral lung cancer was much more common than central lung cancer.The median survival time in patients with surgical treatment was 14 months and in patients without surgical treatment was 5 months. Conclusions Lung cancer of this type is easily misdiagnosed with a poor prognosis.Radiation therapy and chemotherapy are of benefit to the disease.Patients with surgical treatment have a better prognosis.
Keywords:Lung cancer Brain metastases First symptoms
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