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目的:探讨并提高对支气管类癌的认识。方法:通过1例支气管类癌引起上腔静脉压迫综合征患者临床资料和文献复习,详细分析支气管类癌起源、病理分型及特点、临床表现、分类、诊断、鉴别诊断、治疗及预后。结果:支气管镜检查是临床诊断的重要方法,确诊依靠免疫组化,神经元特异性烯醇酶、铬粒素A、突触素阳性是确诊依据。结论:支气管类癌早期易误诊,早期手术治疗可显著延长患者生存时间,化疗及放疗对支气管类癌不敏感。
Objective: To explore and improve the awareness of bronchial carcinoid. Methods: The clinical data and literatures of patients with superior vena cava syndrome caused by bronchogenic carcinoid were retrospectively reviewed. The origin, pathological classification and characteristics, clinical manifestation, classification, diagnosis, differential diagnosis, treatment and prognosis of bronchial carcinoid were analyzed in detail. Results: Bronchoscopy is an important method of clinical diagnosis. Diagnosis depends on immunohistochemistry, neuron-specific enolase, chromegranolide A and synaptophysin. Conclusion: Early misdiagnosis of bronchial carcinoid, early surgical treatment can significantly prolong the survival time of patients, chemotherapy and radiotherapy is not sensitive to carcinoid bronchus.