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肺大细胞癌外科治疗体会

The Experiences of surgical treatment of 16 cases of the Large cell carcinoma of the lung

  • 摘要: 本文报告了16例肺大细胞癌外科治疗体会.认为大细胞癌的临床表现与其他类型肺癌无明显区别.X线检查表现为周围型巨大肿块无空洞为其特点;血行转移为主.其组织来源复杂,术前获确切病理诊断较困难.可分为巨细胞癌和透明细胞癌两个亚型.前者侵袭力强,常侵及临近肺叶及相邻器官,早期出现全身转移,预后极差,平均生存期6.5个月.后者外任不明显,根治切除预后良好并可获长期生存.二者之间的联系与区别有待进一步揭示.

     

    Abstract: The experiences of surgical treatment of 16 cases of the large cell carcinoma of the lung arerePOrted in this article. There isn' more differences in clinical manifestation between the large cellcarcinoma of the lung and the others. X-ray's features were great peripheral mass no cavity' Bloodspread is the main metastatic route. Because of it,s complicated tissular origin, obtaining exactpathological diagnosis is difficult preoperatively. It can be subclassified giant cell carcinoma andclear cell carcinoma. Clinically the former presents active invasiveness-often invading neighberinglobe and nearby organ, metastasizing through all body early. It's median survival period was only6. 5 months. The latter has less aggressive and the long-term survival was gained if the focus canbe resected radically. The relation and difference of both subclassifications may be further discovered.

     

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