原发性肺癌引起脑转移者,并非少见,占脑转移癌的首位,约为25～66.4%,而引起脊髓转移者也不少,约占脊髓转移癌的17%。但临床上常遇到一些肺部无症状或不明显,而以脑或脊髓损害症状为首发的患者,因此,给早期诊断常带来困难。我院自1966～1982年间收治此类患者16例,现分析如下。临床资料一、性别与年龄本组男12例,女4例,男女之比为3:1。年龄最小为32岁,最大为69岁平均53.9岁,大多在51岁以上(12/16)。如以转移部位 It is not uncommon for primary lung cancer to cause brain metastases, accounting for 25 to 66.4% of brain metastases, and there are also many who cause spinal cord metastases, accounting for about 17% of spinal metastases. However, clinically, some patients with asymptomatic or invisible lungs are often encountered, and patients with brain or spinal cord lesions are the first patients. Therefore, early diagnosis often presents difficulties. In our hospital, 16 cases of these patients were treated from 1966 to 1982. The analysis is as follows. Clinical data 1. Sex and age There were 12 males and 4 females in this group. The male to female ratio was 3:1. The youngest is 32 years old, and the oldest is 69 years old and averages 53.9 years old. Most of them are over 51 years old (12/16). If the site of transfer