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为了探讨小肺癌的临床特点及手术治疗,提高肺癌早期诊断水平,回顾性分析手术治疗最大直径≤10 mm的33例小肺癌患者的临床资料,总结外科治疗体会。结果无1例术前明确诊断,术中冷冻良恶性确诊率100%。腺癌19例,肺泡癌8例,鳞癌5例,小细胞癌1例。病理分期T1N0M024例,T2N0M05例,T1N0M03例,T2N0M01例。初步研究结果提示,≤10 mm的小肺癌病变进展慢,以腺癌和肺泡癌为主,临床及影像特征不明显,术中冷冻是可靠的诊断方法,手术方式以肺叶切除+淋巴结廓清为宜,纵隔淋巴结转移较少见。
In order to explore the clinical features and surgical treatment of small lung cancer and improve the early diagnosis of lung cancer, the clinical data of 33 patients with small lung cancer who were treated by maxillofacial surgery less than 10 mm were analyzed retrospectively to summarize the experience of surgical treatment. No one case of a clear preoperative diagnosis, intraoperative frozen benign and malignant diagnosis rate of 100%. 19 cases of adenocarcinoma, 8 cases of alveolar carcinoma, 5 cases of squamous cell carcinoma and 1 case of small cell carcinoma. Pathological staging T1N0M024 cases, T2N0M05 cases, T1N0M03 cases, T2N0M01 cases. Preliminary findings suggest that small lung cancer ≤ 10 mm slow progression of the disease, mainly adenocarcinoma and alveolar carcinoma, clinical and imaging characteristics are not obvious, intraoperative freezing is a reliable diagnostic method, operative approach to lobectomy + lymph node clearance should be appropriate , Mediastinal lymph node metastases are rare.