| 48例肺类癌患者的临床特征及预后分析 |
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| 引用本文： | 王莹,张同梅,钱哲,董宇杰,高远,刘赞,胡范彬,李宝兰. 48例肺类癌患者的临床特征及预后分析[J]. 癌症进展, 2019, 17(7): 851-855 |
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| 作者姓名： | 王莹 张同梅 钱哲 董宇杰 高远 刘赞 胡范彬 李宝兰 |
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| 作者单位： | 首都医科大学石景山教学医院/北京市石景山医院肿瘤科,北京,100043;首都医科大学附属北京市胸科医院/北京市结核病胸部肿瘤研究所综合科,北京,1011490;首都医科大学附属北京市胸科医院/北京市结核病胸部肿瘤研究所 病理科,北京,1011490 |
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| 摘 要： | 目的分析肺类癌(PC)患者的临床资料,提高对PC的认识。方法收集48例PC患者的临床资料,并对性别、年龄、吸烟史、病理类型、肿瘤大小、N分期、远处脏器转移和TNM分期等与PC患者预后的关系进行分析。结果 48例PC患者中,典型类癌(TC)30例,不典型类癌(AC)18例;临床表现以咳嗽、痰中带血为主;37例患者行手术治疗,11例患者行姑息性放化疗或对症支持治疗。48例PC患者的1、3、5年生存率分别为87.5%、83.3%、77.1%。单因素分析结果显示,不同病理类型、N分期、远处脏器转移、TNM分期PC患者的中位总生存期比较,差异均有统计学意义(P﹤0.05);多因素分析结果显示,TNM分期是PC患者总生存期的独立影响因素(P﹤0.01)。结论 PC的临床表现缺乏特异性,确诊主要依据术后病理。手术切除为PC的主要治疗手段,TNM分期是PC患者预后的独立影响因素。术后辅助化疗在PC治疗中的地位有待进一步确认。
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| 关 键 词： | 肺神经内分泌肿瘤 肺类癌 典型类癌 不典型类癌 临床特征 预后因素 |
Clinical characteristics and prognostic analysis of 48 cases of pulmonary carcinoid |
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| WANG Ying,ZHANG Tongmei,QIAN Zhe,DONG Yujie,GAO Yuan,LIU Zan,HU Fanbin,LI Baolan. Clinical characteristics and prognostic analysis of 48 cases of pulmonary carcinoid[J]. Oncology Progress, 2019, 17(7): 851-855 |
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| Authors: | WANG Ying ZHANG Tongmei QIAN Zhe DONG Yujie GAO Yuan LIU Zan HU Fanbin LI Baolan |
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| Affiliation: | (Department of Oncology,Shijingshan Teaching Hospital of Capital Medical University/Beijing Shijingshan Hospital,Beijing 100043,China;Department of General Medicine,Affiliated Beijing Chest Hospital of Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China;Department of Pathology,Affiliated Beijing Chest Hospital of Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China) |
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| Abstract: | WANG Ying;ZHANG Tongmei;QIAN Zhe;DONG Yujie;GAO Yuan;LIU Zan;HU Fanbin;LI Baolan(Department of Oncology,Shijingshan Teaching Hospital of Capital Medical University/Beijing Shijingshan Hospital,Beijing 100043,China;Department of General Medicine,Affiliated Beijing Chest Hospital of Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China;Department of Pathology,Affiliated Beijing Chest Hospital of Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China) |
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| Keywords: | pulmonary neuroendocrine tumor pulmonary carcinoid typical carcinoid atypical carcinoid clinical characteristic prognostic factor |
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