499例肺癌的纤维支气管镜检查分析

报告４９９例经细胞学和（或）组织病理学确诊为肺癌的纤支镜检查结果，４９９例中病变分属中央型肺癌３５５例（７１．１４％），周围型肺癌１４４例（２８．８６％），中央型肺癌中鳞状细胞癌多见，占６６．２０％，周围型肺癌中腺癌为主，占３４．７２％，纤支镜检查发现瘤体多呈菜花突向管腔，其中以鳞状细胞癌多见，管壁内浸润，粘膜糜烂，出血以及管腔狭窄较少，并多为未分化癌或腺癌。

An Analysis of Fibroscopical Examination in 499 Cases with Pulmonary Carcinoma

The results of fibrosopical examination in 499 cases diagnosed as pulmonary carcinoma by histopathology are reported. Of 499 patients, 71.14% were central type in which predominantly squamous cell carcinoma, the remainder was peripheral type in which predominantly adenocarcinoma. Fibroscopically, tumors protruding into the lumen of bronchus, as cauliflower mass, were more seen than that infiltrating in the walls, erosion, hemorrhage, and shallow of the bronchus. The former was often observed in squamous cell carcinomas, and the latter was more aeen in adenocarcinomas and undifferentiated carcinomas.