论文部分内容阅读
目的:探析早期肺腺癌巴结转移临床预测因素。方法:对2013年8月-2015年8月我院收治的396例CT资料显示为外周性小结节肺腺癌患者资料进行回顾性分析,全面记录PET-CT者的SUV最大值,实施单因素和多因素分析,寻求淋巴结转移相关因素。结果:肿瘤直径大于1cm,混合性结节,实性结节以及CEA>5μg/L为典型预测因素。在SUV最大值>5时,出现淋巴结转移概率更高。对于该类患者应进行淋巴清扫。结论:肿瘤直径在1cm以上,混合型/实性结节,CEA>5μg/LSUV最大值在5以上,证实存在淋巴结转移,需要实施清扫术。
Objective: To investigate the clinical predictors of early metastasis of lung adenocarcinoma. Methods: The data of 396 cases of CT in our hospital from August 2013 to August 2015 were retrospectively analyzed for the data of patients with small peripheral nodular lung adenocarcinoma. The maximum value of SUV of PET-CT was recorded. Factors and multivariate analysis, seeking lymph node metastasis-related factors. Results: Tumor diameter> 1 cm, mixed nodules, solid nodules and CEA> 5 μg / L were typical predictors. At SUVs> 5, there is a higher probability of lymph node metastasis. For such patients should be lymph node dissection. CONCLUSIONS: Tumors of more than 1 cm in diameter, mixed / solid nodules with a CEA> 5 μg / LSUV maximum of 5 or above demonstrate lymph node metastases and require dissection.