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目的 了解支气管K细胞癌的恶性度、内镜表现及预后等差异。方法 回顾性分析了经光镜电镜或免疫组化检查确诊的支气管典型类癌 2 4例 ,非典型类癌 19例和小细胞肺癌 32 5例资料。结果 小细胞肺癌男性多 ,典型、非典型类癌女性多 ;典型类癌病人平均年龄小于非典型类癌和小细胞肺癌者 ,且平均病程长 ,而小细胞肺癌病程短 ,非典型类癌者居中 ;镜下典型类癌息肉样病变多 ,非典型类癌和小细胞肺癌菜花样病变多 ;典型类癌活检阳性率低于非典型类癌和小细胞肺癌且淋巴结转移率低( 4 2 % )、5年生存率高 ( 91 9% ) ,小细胞肺癌淋巴结转移率高 ( 80 3 % )、5年生存率低 ( 2 3 8% ) ,非典型类癌居中 ( 52 5%、57 9% ) ,差别均有统计学意义。结论 典型类癌恶性度低切除几可治愈 ,小细胞肺癌恶性度高、预后差需综合治疗 ,非典型类癌居中
Objective To investigate the malignant degree, endoscopic findings and prognosis of bronchial carcinoma of the Karyotype. Methods The clinical data of 24 typical bronchioid carcinomas, 19 atypical carcinoids and 325 small cell lung carcinomas confirmed by light microscope or immunohistochemistry were retrospectively analyzed. Results The majority of SCLC patients were male, typical and atypical carcinoid. The average age of typical carcinoid patients was less than those of atypical carcinoid and SCLC patients with longer duration of disease and shorter duration of SCLC. Patients with atypical carcinoid The typical carcinoid tumors were polypoid, with atypical carcinoid and small cell lung cancer. The positive rate of typical carcinoid tumors was lower than that of atypical carcinoid and small cell lung cancer with low lymph node metastasis (42% ), High 5-year survival rate (91 9%), small cell lung cancer lymph node metastasis rate (80 3%), 5 year survival rate low (23.8%), atypical carcinoid center (52 5%, 57 9 %), The differences were statistically significant. Conclusions The typical carcinoid tumors with low grade of malignancy can be cured, the malignancy of small cell lung cancer is high, the prognosis is poor, and the treatment of atypical carcinoids