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本文对64例30岁以下原发性肺癌作临床分析,男女的比率是1.2:1,男性未分化癌占45.7％,女性腺癌占44.8％。初诊时误诊率为81.2％(52例),待确诊时绝大多数(61例)已属晚期(Ⅲ或Ⅳ期)。 因此提示青年肺癌具有发展快,转移早的特征,并因失去手术根治时机至使预后不佳。为了提高诊断水平,对青年患者有不明原因的呼吸道症状或其他征兆,均应作详细的各项有关检查,争取早期确诊,以改善青年肺癌的预后。
In this paper, 64 cases of primary lung cancer below the age of 30 were analyzed clinically. The ratio of male to female was 1.2:1, male undifferentiated carcinoma was 45.7%, and female adenocarcinoma was 44.8%. The rate of misdiagnosis at the time of initial diagnosis was 81.2% (52 cases), and the vast majority (61 cases) were already advanced (stage III or IV) at the time of diagnosis. Therefore, it is suggested that young lung cancer has the characteristics of rapid development and early metastasis, and the prognosis is poor due to the lack of time for radical surgery. In order to improve the diagnosis level, young patients with unexplained respiratory symptoms or other signs should be given detailed examinations for early diagnosis to improve the prognosis of young lung cancer.