肺转移性恶性肿瘤疗效分析

目的：探讨肺转移性恶性肿瘤的综合治疗的价值。方法：本院从1993年1月－1999年1月，收治75例肺转移性恶性肿瘤，全部病例其原发病灶均经病理证实，肺转移灶经CT、MRI证实，全组男性34例，妇性41例，中位年龄47岁（27－71岁）。单个转移病灶12例，多发转移灶63例，单纯手术切除肺叶或楔形切除4例；手术＋化疗2例，术前术后放疗＋术后化疗6例；放中化疗17例；单纯放疗10例；单纯化疗36例。75例中59例服中药辅佐。结果：75例肺转移性恶性肿瘤中鼻咽癌有效率（CR＋PR）71．4％（20／28）中位生存期（MST）9．5个月，；肺癌有效率为（CR＋PR）53．3％（8／15）MST8．5个月；乳腺癌有效率为68．7％（22。／32）MST21个月；本组总有效率为（CR＋PR）66．7％（50／75），CR率为36．0％，PR率为30．7％，NC率为25．3％，PD率为85，本组总MST13．5个月，中药有对放化疗协同作用。结论：S一组病例为回顾性调查 ，每组病病例不多，鼻咽癌和乳腺癌肺转移的结果分析提示对放疗化敏感，低度恶性的肺转移性癌放疗化并化疗是一种有效较治疗手术，配合中药，具有一定的临床意义。

The papeuticcurative effect analysis on malignant tmmor of lung transference

Purpose:To investigate the comprehensive treatment value on the malignant Tumor of lung transference.Methods:From January, 1993 to January, 1999, our hospital accepted 75 cases malignant tumor of lung transference in all. It was proved that the primary foci were lungs transference. There are 34 male cases and 41 female cases in the group. The average age is 47 years old the ages(between 27 to 71).Single primary foci reach 12 cases, and multiprimary foci reach 63 cases. Pure operation removals are 4 cases; operation with chemotherapy are 2 cases, and 6 cases are treated with plan radiotherapy before operation with chemotherapy after operation; 17 cases, radio and chemotherapy; 10 cases, only radiotherapy; 36 cases, only chemotherapy. 59 cases in 75 take additional traditional Chinese drugs.Results:The effective rate of nasopharyngeal carcinoma in lung transferring tumor (CR PR) is 71.4% (20/28) MST is 9.5 month; the effective rate of lung cancer (CR PR) is 53.3% (8/15) MST 8.5 month; breast cancer, 68.7% (22/32) MST 21 month. The total effective rate of this group (CR PR) is 66.7% (50/75), CR rate is 36.04%, PR rate is 30.7%, NC rate is 25.3%, PD rate is 8%.Total MST is 13.5 month. Traditional Chinese medicine (TCM) can help the radiotherapy and chemotherapy in the function.Conclusions:The group of cases are for retrospect investigation, there are many disease type, but not many in each type, the analysis of the result shows that they are sensitive to radiotherapy and chemotherapy, the radiotherapy and chemotherapy is a kind of supplementary treatment to low degree malignant tumor of lung transference, it has definite clinical meaning if assisting with traditional Chinese medicine.