老年人肺癌250例临床影像学分析

本文报告250例老年人肺癌，男190例，女60例。年龄60～87岁，平均67岁。鳞癌118例，腺癌79例，未分化癌28例，肺泡癌20例，陈鳞癌5例。中央型127例，周围型99例，特殊类型24例。病程15月～20个月，平均8个月。临床均有胸病胸闷，咳嗽咳痰，其中痰夹血140例。老年肺癌特点：（1）肺部合并症多（占93．6％）；（2）首诊时已发现转移多（占60％）；（3）60～69岁多见（占63．2％）；（4）北方以腺癌（33．02％）和鳞癌（32．08％）多见，南方以鳞癌（51．79％）多见；（5）误诊率高（占33．6％）；（6）5年以上生存率低（仅占4％）。

Clinical and Imaging Analysis of 250 Cases of Senile Lung Cancer

The lung cancer of 250 cases of senile were reported, 190 male and 60 female' Age of variedfrom 60~ 87years, mean 67years. 118 sguamous cell carcinoma, 79 adenocarcinoma, 28 undifferentiated carcinoma, 20 alveolar cell carcinoma, 5 adenocarcinoma squamous cell carcinoma. 127 center type, 99 peripheredtype, 24 special type. The course of disease from 1~20months, mean 8 month. All cases pain and tightnes inthe chest and cough phlegm, 140 blood in phlegm. Their characteristics were: (l)the ma jorily in 60~69 years group (63. 2 % ); (2) the majorily adenocarcinoma (33.02 % )and squamous cell carcin0ma (32. 08 % ) in north,squamous cell carcinoma (51. 79% ) in south; (3) the majority of the complicetion (93. 6%) in lung; (4)the ma jority of matastasis in primary diagnosis (60% ) 1 (5) the high of misdiagnosed (33. 6% ); (6) the lessof live in 5 years time (4%).