目的探讨女青年肺癌的临床特点与治疗。方法对30例女青年原发性肺癌患者的临床资料进行回顾性分析。结果女青年肺癌除呼吸道症状外,常以肺外表现为首发症状,肿瘤多见于右肺,腺癌多见,周围型多见,与主动性吸烟关系不明显;肿瘤进展快,转移早,可手术率低。结论女青年出现早期的呼吸道症状如刺激性咳嗽、胸痛、血痰或不明原因的淋巴结肿大、头痛呕吐,应警惕肺癌。争取早期正确诊断,早期根治切除肿瘤,以提高女青年肺癌的治疗效果。 Objective To investigate the clinical features and treatment of young female lung cancer. Methods The clinical data of 30 young female patients with primary lung cancer were analyzed retrospectively. Results In addition to respiratory symptoms, young women with lung cancer often presented with extrapulmonary manifestations as the first symptom. The tumors were more common in the right lung and adenocarcinoma, and were more common in peripheral type with no obvious relationship with active smoking. The tumors progressed rapidly and transferred earlier, The operation rate is low. Conclusions Early onset of respiratory symptoms such as irritating cough, chest pain, bloody sputum or unexplained lymph nodes, headache and vomiting, should be observed in young women with lung cancer. For early correct diagnosis, early radical resection of the tumor, in order to improve the treatment of young women with lung cancer.