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目的:探讨肺癌皮肤转移的临床与病理特征。方法:对25例肺癌皮肤转移进行分析。结果与结论:肺癌皮肤转移结节多数无明显症状;出现部位以胸背部多见,其次为头颈部和腹部,四肢较少见;皮肤转移灶多数在3cm以下;多数在肺癌确诊之后出现;多合并其它部位转移。病理类型以腺癌为主13例(52％),其次为鳞癌7例(28％),小细胞未分化癌4例(16％),大细胞未分化癌1例(4％)。随访显示:确诊肺癌后生存期中位数11.5月,发现皮肤转移后生存期中位数3.5月,提示肺癌皮肤转移预后不良。
Objective: To explore the clinical and pathological features of lung cancer with lung metastases. Methods: Twenty-five lung cancer cases were analyzed. RESULTS AND CONCLUSION: Most of the lung metastatic nodules in lung cancer had no obvious symptoms; the most common sites were chest and back, followed by the head and neck and abdomen, and the limbs were rare; the majority of skin metastases were below 3 cm; most of them occurred after the diagnosis of lung cancer; More merger with other parts of the transfer. The pathological type was adenocarcinoma in 13 cases (52%), followed by squamous cell carcinoma in 7 cases (28%), small cell undifferentiated carcinoma in 4 cases (16%), and large cell undifferentiated carcinoma in 1 case (4%). Follow-up showed that the median survival time after diagnosis of lung cancer was 11.5 months, and the median survival time after skin metastasis was 3.5 months, indicating that the prognosis of lung cancer was poor.