| 原发性胸腺癌15例外科治疗分析 |
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| 引用本文： | 郑如恒,汪灏,葛棣,乔玉磊. 原发性胸腺癌15例外科治疗分析[J]. 中国临床医学, 2004, 11(5): 721-722 |
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| 作者姓名： | 郑如恒 汪灏 葛棣 乔玉磊 |
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| 作者单位： | 复旦大学附属中山医院胸外科,上海,200032 |
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| 摘 要： | 目的：分析原发性胸腺癌临床特征和外科治疗。方法：对15例手术治疗并经病理证实的原发性胸腺癌患者的临床资料进行回顾性分析，讨论该病的诊断及治疗。结果：患者年龄19～70岁，平均52．8岁。大多具有临床症状，6例有咳嗽咳痰，4例有胸闷或胸部隐痛。X线和CT显示前纵隔内肿块影，术前能确诊仅8例(53．3％)。行手术切除11例，术后平均生存时间23．6个月，1年生存率为40．0％，3年生存率为13．3％，5年生存率为0，有2例复发，8例转移。结论：原发性胸腺癌是一种高度恶性肿瘤，术前确诊率较低，应早期采用外科手术治疗，预后不良。
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| 关 键 词： | 胸腺癌 原发性 生存率 外科治疗 术前 患者 诊断 例外 平均 目的 |
Surgical Treatment of Primary Thymic Carcinoma |
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| Zhen Ruheng Wang Hao Ge Di,et al.. Surgical Treatment of Primary Thymic Carcinoma[J]. Chinese Journal Of Clinical Medicine, 2004, 11(5): 721-722 |
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| Authors: | Zhen Ruheng Wang Hao Ge Di et al. |
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| Abstract: | Objective: To study the clinical characters and surgical treatment of primary thymic carcinoma. Methods: 15 cases with primary thymic carcinoma confirmed by pathology after operation were studied retrospectively. Results: The range of the ages was from 19 to 70 years. The most cases had clinical symptoms, 6 cases had cough or phlegm, 4 cases had chest pain. On X-ray and CT, the carcinoma showed a shadow in the anterior mediastinum. The correct diagnosis pre-opertion were made only in 8 cases(53.3%). 11 cases had the changce to undertake excision. Overall patients survival rates were 40.0%?13.3%?0% at 1, 3, 5 years, respectively. Recurrence was founded in 2 cases while metastasis in 8 cases. Conclusion:Primary thymic carcinoma is a kind of badly maligant neoplasms with unsatisfactory prognosis. |
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| Keywords: | Primary thymic carcinoma Surgical treatment |
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