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目的:阐明同时双原发肺癌(sDPLC)的定义和诊治方法。方法:通过1例典型sDPLC的临床诊治分析,综合文献复习,阐明sDPLC的诊治新进展。结果:sDPLC目前尚无确切可靠的诊断标准,CT、纤支镜、病理检查及分子水平检测对诊断具有重要意义,以手术为主的综合治疗是sDPLC的主要治疗手段。结论:选择合理的处理方法是提高sDPLC患者预后的关键,以手术治疗为基础的综合治疗应为首选方案。
Objective: To clarify the definition and diagnosis and treatment of simultaneous dual primary lung cancer (sDPLC). Methods: One case of typical sDPLC clinical diagnosis and treatment, comprehensive literature review to clarify the sDPLC diagnosis and treatment of new progress. Results: There is no definite and reliable diagnostic criteria for sDPLC. CT, bronchofibroscopy, pathological examination and molecular level examination are of great significance for the diagnosis. The main surgical treatment of sDPLC is the comprehensive surgical treatment. Conclusion: Choosing a reasonable treatment method is the key to improve the prognosis of patients with sDPLC. Surgical treatment-based comprehensive treatment should be the first choice.