青年人肺癌的诊断与外科治疗

作者报告１９６３－１９９２年经手术及病理证实，年龄小于４０岁的６２例原发性肺癌者的治疗结果。６２例中手术切除５０例，切除率为８０．６％，术前误诊率为７７．４％。病理类型以腺癌多见，其次为小细胞癌。术后１年、３年、５年生存率分别为７９．６％、４１．９％和２４．１％。作者认为早期诊断，早期手术治疗是提高青年人肺癌生存率的关键。

Diagnosis and Surgical Treatment of Lung Cancer in Young Patients

Sixty two lung cancer patients were operated and proved by pathology in our hospital from 1963 to 1992,theirage was under 40 years. Among them 50 patients were treated by surgical excision,the rate of resection was 80.6% and therate of preoperative misdiagnosis was 77.4%. In point of pathology,the most common pathological type in this group wasadenocarcinoma (46.8%),the others were small cell lung cancer(21.o%). The one-,three-and five-year survival rates afteroperation were 79.6%,41.9% and 24.1%,respectively. The authors think that early diagnosis and excision might be a keyto enhance the survival rate of lung cancer in young patients.