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作者报导53例支气管腺瘤,占同一时期(1961～1977)1700例原发性支气管肿瘤的3.1%。53例中38例(72%)为“典型”类癌,4例(8%)为“不典型”类癌、8例(15%)恶性类癌、3例(6%)园柱瘤。前二组类癌周围组织未见瘤细胞浸润;肺门淋巴结无转移。后二组的每例都有周围组织瘤细胞浸润;肺门淋巴结转移恶性类癌8例中有5例,园柱瘤3例中有2例。女性略多于男性(28例:25例),8例恶性类癌中6例系女性。发病年龄3岁～61岁,平均为35岁,58%在30～50岁间,较原发性支气管瘤发病为早。患者可有咯血或因肿瘤阻塞支气管引起远端肺实质的慢性炎症、反复性发热及脓粘痰而误诊。90%以
The authors reported 53 cases of bronchial adenomas, accounting for 3.1% of 1700 primary bronchial tumors during the same period (1961–1977). Of the 53 cases, 38 (72%) were “typical” carcinoid, 4 (8%) were “atypical” carcinoid, 8 (15%) malignant carcinoid, and 3 (6%) cylindrical tumors. No tumor cell infiltration was observed in the first two groups of carcinoid tissues; there was no metastasis in hilar lymph nodes. In the latter two groups, there were peripheral tissue tumor infiltrations in each case; there were 5 cases of malignant carcinoid tumors in hilar lymph node metastasis in 8 cases, and 2 cases in 3 cases of cylindrical tumors. Slightly more women than men (28 cases: 25 cases), 8 cases of malignant carcinoid in 6 cases of women. The age of onset is 3 to 61 years, with an average of 35 years old, and 58% is between 30 and 50 years old, which is earlier than the incidence of primary bronchial tumor. Patients may have hemoptysis or misdiagnosis due to chronic inflammation of the distal lung parenchyma due to tumor obstruction of the bronchus, repeated fever, and impetigo. 90% with