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近年肺癌的发病率、死亡率仍趋于升高势头。如何控制肺癌的发病率,降低死亡率,是值得关注的一个课题。作者根据第四届国际肺癌会议主要学术报告(录音材料)和国内外有关文献将肺癌防治的进展作一综述。一、肺癌病因学的研究 (一) 肺癌发病状况:肺癌是世界上最多见的癌症死因之一,每年死亡人数超过一百万。世界卫生组织(WHO)指出:“在一些工业化的国家中肺癌已是第一位致死癌瘤,发病率在不断上升,有些国家已达肿瘤病人的第二或第三位”。国内发病率也有所上升。死亡率在一些大城市(如上海、北京,天津)已上升为男性癌瘤死亡率的首位。尤其个旧市发病率高达41.8/10万,居全国第一。 (二)肺癌与吸烟关系:吸烟是肺癌的主要病
In recent years, the incidence and death rate of lung cancer still tend to increase. How to control the incidence of lung cancer and reduce mortality is a topic worthy of attention. The author reviewed the progress of prevention and treatment of lung cancer according to the main academic report (recorded material) of the Fourth International Conference on Lung Cancer and related literature at home and abroad. 1. Research on the etiology of lung cancer (1) The incidence of lung cancer: Lung cancer is one of the most common causes of cancer death in the world, with more than one million deaths each year. The World Health Organization (WHO) pointed out: “In some industrialized countries, lung cancer is the first cancer causing death, and the incidence rate is increasing. Some countries have reached the second or third place in cancer patients.” The domestic incidence has also increased. Mortality has risen to the top of male cancer mortality in some major cities (such as Shanghai, Beijing and Tianjin). In particular, the incidence rate of Gejiu City was as high as 41.8 per 100,000, ranking first in the country. (B) The relationship between lung cancer and smoking: Smoking is the main disease of lung cancer