肺癌脑转移38例临床病理分析

 本文报告了38例肺癌脑转移病例，男28例、女10例，年龄27～75岁，平均55岁。中心型肺癌25例、周围型11例、弥漫型2例。鳞状细胞癌10例、腺癌18例、小细胞癌7例、大细胞癌3例。肺腺癌最易发生脑转移18/38（47．4%）。小细胞肺癌脑转移早于其他类型。以脑转移瘤为首发症状者易误诊。适当应用手术，放疗及化疗等方法，可在一定程度上改善病人症状，延长病人生存时间。

Clinical and pathologic analysis of 38 cases of brain-metastasis from lung cancer

Thirty eight cases of brain metastasis from lung cancer were studied. There were 28 males and 7 females, the age rang from 27 to 7o years with an average of 55 years. Among them, there were 25 cases in hilus of lung, 11 cases in the peripher of lung, 2 cases in disseminate. Among them, there were 10 squamous cell carcinoma, 18 adenocarcinoma, 7 small cell carcinoma and 3 large cell carcinoma. A majority of the brain metastases was from adenocarcinoma 18/38 (47. 4% ). Brain metastasis occurred earlier in small cell carcinoma than in any other pathologic types. Patient's condition can be improved and the survival period of patient can be prolonged only by combining surgery, radiation and chemotherapy.