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肺癌是西德男性最常见的癌症,确诊时仅30%病人能手术切除.肿瘤的扩展范围、淋巴结和器官转移,以及病人的心肺功能决定其切除率.一般手术切除肿瘤的疗效以T_3N_1 M_0为分界(UICC肺癌分期法表1、2).如证实有远距离转移和/或罹及纵隔淋巴结,则已越过局部可能痊愈的手术切除能力.这适合于鳞癌、腺癌和大细胞肺癌.小细胞肺癌用化疗和放疗相结合的综合治疗.仅在T 1/2NO MO时考虑加用手术治疗.
Lung cancer is the most common cancer among males in West Germany. Only 30% of patients diagnosed with lung cancer can undergo surgical resection. The extent of tumor expansion, lymph node and organ metastases, and the patient’s heart and lung function determine the resection rate. The general surgical resection rate is T_3N_1 M_0. The demarcation (UICC lung cancer staging table 1, 2). If it is confirmed that there is distant metastasis and/or orbital and mediastinal lymph nodes, the surgical resection ability that may be partially healed has been overcome. This is suitable for squamous cell carcinoma, adenocarcinoma, and large cell lung cancer. Small cell lung cancer is treated with a combination of chemotherapy and radiotherapy. Surgery is only considered when T 1/2 NO MO is used.