肺部少见原发性恶性肿瘤的诊断与治疗

目的 探讨肺部少见原发性恶性肿瘤的临床特点、诊断及治疗方法。方法 回顾性地总结了49例肺部少见原发性恶性肿瘤，对其病理、临床表现、X线表现、诊断及治疗情况结合文献进行分析。结果 49例肺部少见的原发性恶性肿瘤，约占同期手术切除的肺内肿瘤的0．70％（41／5872）。49例中1例行支气管镜活检，1例行颅骨转移活检，2例行淋巴结活检，4例行肺穿刺活检病理证实，其余41例进行了外科手术治疗，并经术后病理证实。结论 外科手术是肺部少见原发性恶性肿瘤主要的诊断和治疗手段。

Diagnosis and treatment of primary pulmonary rare malignant tumors

Objective To explore the clinical features, diagnosis and treatment of primary pulmonary rare malignant tumors. Methods Forty nine patients with primary pulmonary rare malignant tumors were retrospectively analysed about their clinicopathological characteristics and X ray signs, as well as methods of diagnosis and treatment. Results Among 49 patients, which was 0.70% (41/5?872) of all pulmonary tumors resected in the same period, 1 case was diagnosed by bronchoscope biopsy, 2 cases by lymph node biopsy, and 4 cases by pulmonary puncture and biopsy. Another 41 cases (83.6%, 41/49) underwent surgical operation and were pathologically diagnosed after operation. Conclusion Surgical operation is main measure in the diagnosis and treatment of primary pulmonary rare malignant tumors.