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肺癌脑转移38例临床病理分析

Clinical and pathologic analysis of 38 cases of brain-metastasis from lung cancer

  • 摘要: 本文报告了38例肺癌脑转移病例,男28例、女10例,年龄27~75岁,平均55岁。中心型肺癌25例、周围型11例、弥漫型2例。鳞状细胞癌10例、腺癌18例、小细胞癌7例、大细胞癌3例。肺腺癌最易发生脑转移18/38(47.4%)。小细胞肺癌脑转移早于其他类型。以脑转移瘤为首发症状者易误诊。适当应用手术,放疗及化疗等方法,可在一定程度上改善病人症状,延长病人生存时间。

     

    Abstract: Thirty eight cases of brain metastas is from lung cancer were studied. There were 28 males and 7 females, the age rang from 27 to 75 years with anaverage of 55 years. Among them, there were 25 cases in hilus of lung, 11 cases in the peripher of lung, 2 cases in disseminate. Among them, there were 10 squamous cell carcino-ma, 18 adenocarcinoma, 7 small cell carcinoma and 3 large cell carcinoma. A maior-ity of the brain metastases was from adenocarcinoma 18/38(47.4%). Brain metas-tasis occurred earlier in small cell carcinoma than in any other pathologic types. Patient's condition can be improved and the survival period of patient can be pro-longed only by combining surgery, radiation and chemotherapy.

     

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