本文对原发性肺癌１０７例之病理类型与外科治疗情况进行分析。重点讨论了肺癌胸壁侵犯的外科处理，癌性胸水的治疗以及罕见肺部肿瘤的诊断。介绍了涤纶片修补胸壁缺损方法，并对肺癌术前放疗的评价提出了作者的看法：认为术前放疗只宜采用１／２剂量（３０～４０Ｇｙ），否则术后有发生支气管残端瘘的可能。 This article analyzes the pathological types and surgical treatment of primary lung cancer in 107 cases. The surgical treatment of chest wall invasion of lung cancer, treatment of cancerous pleural effusion, and diagnosis of rare lung tumors are discussed. The method of repairing chest wall defect with polyester sheet was introduced. The authors’ opinion was given on the evaluation of preoperative radiotherapy for lung cancer: It was considered that only 1/2 dose (30-40 Gy) should be used for preoperative radiotherapy, otherwise there will be bronchial stump fistula after operation. may.