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自1991年1月～1992年5月,我院肿瘤科共收治上腔静脉综合征(SVCS)24例。本文重点分析其治疗,并作简要讨论。1.资料分析:本组24例均有上腔静脉阻塞症状及体征,胸片示上腔静脉部位受压的肿块,其中痰液细胞学阳性14例(小细胞肺癌8例、鳞癌4例、腺癌2例),纤支镜检查阳性7例(小细胞肺癌2例、鳞癌4例、腺癌1例),锁骨上淋巴结活检阳性2例(均为恶性淋巴肉瘤),胸膜活检阳性1例(腺癌)。本组22例肺癌均采用以化疗为主的免
From January 1991 to May 1992, 24 patients with superior vena cava syndrome (SVCS) were admitted to the Department of Oncology. This article focuses on analyzing its treatment and briefly discusses it. 1. Data analysis: 24 cases of this group all had symptoms and signs of superior vena cava obstruction, chest X-ray shows the mass of the superior vena cava compression mass, of which sputum cytology positive in 14 cases (8 cases of small cell lung cancer, 4 cases of squamous cell carcinoma , adenocarcinoma in 2 cases), bronchoscopy positive in 7 cases (2 cases of small cell lung cancer, 4 cases of squamous cell carcinoma, 1 case of adenocarcinoma), 2 cases of positive supraclavicular lymph node biopsy (all malignant lymphosarcoma), positive pleural biopsy 1 case (adenocarcinoma). 22 cases of lung cancer in this group were treated with chemotherapy-based