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手术治疗在非小细胞肺癌单发脑转移患者综合治疗中的作用
引用本文:白皓,韩宝惠.手术治疗在非小细胞肺癌单发脑转移患者综合治疗中的作用[J].上海交通大学学报(医学版),2011,31(3).
作者姓名:白皓  韩宝惠
作者单位:上海交通大学附属胸科医院肺内科;
摘    要:目的探讨手术治疗在非小细胞肺癌(NSCLC)单发脑转移综合治疗中的作用。方法回顾性分析18例NSCLC单发脑转移患者的临床资料。所有患者在手术切除脑转移瘤后均接受全脑放疗及化疗,其中10例患者接受了肺部肿瘤切除术。结果患者总中位生存期为20.8个月,1、2和3年生存率分别为83.3%、48.8%和13.9%;接受和未接受肺部肿瘤切除术患者的中位生存期分别为20.5个月和25.5个月,两者比较差异无统计学意义(P=0.536)。结论手术切除脑转移瘤对NSCLC单发脑转移的治疗具有积极作用;肺部肿瘤是否切除对患者生存期无明显影响。

关 键 词:非小细胞肺癌  脑转移  手术  

Role of surgical resection in comprehensive treatment for patients with non-small-cell lung cancer and solitary brain metastasis
BAI Hao,HAN Bao-hui.Role of surgical resection in comprehensive treatment for patients with non-small-cell lung cancer and solitary brain metastasis[J].Journal of Shanghai Jiaotong University:Medical Science,2011,31(3).
Authors:BAI Hao  HAN Bao-hui
Institution:BAI Hao,HAN Bao-hui(Department of Respiratory Medicine,Shanghai Chest Hospital,Shanghai Jiaotong University,Shanghai 20030,China)
Abstract:Objective To investigate the role of surgical resection in comprehensive treatment for patients with non-small-cell lung cancer(NSCLC) and solitary brain metastasis. Methods The clinical data of 18 patients with NSCLC and solitary brain metastasis were retrospectively analysed.All patients received both whole brain radiotherapy and chemotherapy after surgical resection of brain metastasis,and 10 of them underwent primary lung tumor resection. Results The median survival time of the patients was 20.8 months,...
Keywords:non-small-cell lung cancer  brain metastasis  surgical resection  
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