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我院从1961～1983年发现35岁以下年轻人支气管肺癌47例,发病年龄为16～35岁,20岁以下者4例。肿瘤发生在右肺者28例(60％),在左肺者19例(40％)。临床症状咳嗽者36例,咯血者21例,胸痛者29例。47例均经病理学证实,有末分化癌22例,腺癌11例,鳞癌4例,末分化癌和腺癌较为多见(70.2％),鳞癌较少见(8.5％)。在所有病例中37例有肺门、纵隔、腋窝等淋巴结及其它远处转移(78％)。总之,年轻人肺癌以未分化癌及腺癌多见,生长迅速,较早转移,较快死亡为其特点。
In our hospital from 1961 to 1983, 47 cases of bronchial lung cancer were found in young people under the age of 35. The age of onset was 16 to 35 years old and 4 cases were under 20 years of age. Tumors occurred in 28 patients (60%) in the right lung and 19 patients (40%) in the left lung. There were 36 cases of cough with clinical symptoms, 21 cases of hemoptysis, and 29 cases of chest pain. Forty-seven cases were confirmed by pathology. There were 22 cases of terminally differentiated carcinoma, 11 cases of adenocarcinoma, 4 cases of squamous cell carcinoma, and 73.9% of terminally differentiated adenocarcinoma and adenocarcinoma. Squamous cell carcinoma was rare (8.5%). In all cases, 37 cases had hilar, mediastinal, axillary and other lymph nodes and other distant metastases (78%). In short, young lung cancer is more common in undifferentiated and adenocarcinomas, with rapid growth, early metastasis, and rapid death.