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目的 :总结探讨肺腺鳞癌切除术后的临床病理特点及预后。方法 :采用SPSS软件建立肺癌病例数据库并进行统计学分析 ;对其中 5 4例肺腺鳞癌的统计资料作进一步的理论及预后分析。结果 :5 4例肺腺癌中 ,周围型 42例 ,占 77 78% ,有淋巴结转移者 2 6例 ,转移率为 48 15 % (2 6 / 5 4) ,切除淋巴结总数 5 79枚 ,有转移淋巴结115枚 ,转移度为 19 89% (115 / 5 79)。根治性切除者 42例 ,姑息性切除者 12例。 5年生存率 :肺腺鳞癌为 37 0 4%(2 0 / 5 4) ,肺鳞癌为 6 4 2 2 % (2 6 3/ 5 6 9) ,肺腺癌为 36 96 % (170 / 46 0 ) ,肺未分化癌为 32 82 % (43/ 131)。结论 :肺腺鳞癌以周围型肿瘤多见 ,其淋巴结转移度明显高于肺鳞癌 (P <0 0 1) ,与肺腺癌相似 ;肺腺鳞癌的预后明显差于肺鳞癌 ,与肺腺癌无显著性差异。肿瘤成分比例与预后无关。
Objective: To summarize the clinicopathological features and prognosis of lung adenosquamous carcinoma after resection. Methods: The database of lung cancer cases was established with SPSS software and statistical analysis was performed. The statistical data of 54 cases of lung adenosquamous carcinoma were further analyzed in theory and prognosis. RESULTS: Of the 54 lung adenocarcinoma cases, 42 cases were peripheral type, accounting for 77.78%, and 26 cases had lymph node metastasis. The metastatic rate was 48.5% (2 of 6/54). The total number of resected lymph nodes was 5 79. 115 lymph nodes were metastasized with 19 89% (115 / 5 79). There were 42 cases of radical resection and 12 cases of palliative resection. 5-year survival rate: 37.4% (2 0 / 54) of lung adenosquamous cell carcinoma, 6 4 2 2% (2 6 3/ 5 6 9) of lung squamous cell carcinoma, and 36 96% of lung adenocarcinoma (170 / 46 0), lung undifferentiated carcinoma was 32 82% (43/131). Conclusions: The adenosquamous carcinoma of the lung is more common in surrounding tumors and its lymph node metastasis is significantly higher than that in lung squamous cell carcinoma (P < 0.01), similar to lung adenocarcinoma; the prognosis of lung adenosquamous carcinoma is significantly worse than that of lung squamous cell carcinoma. There was no significant difference with lung adenocarcinoma. The proportion of tumor components has nothing to do with the prognosis.