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上腔静脉综合征(SVCS)是较为常见的肿瘤急症,如果得不到及时有效的治疗则将迅速危及生命。我科自1989年3月以来11个月间以大剂量顺铂为主的化疗方案救治12例、15例次由肺癌所致的上腔静脉综合征,取得较好的临床效果。临床资料男性9例、女性3例。年龄40岁至65岁,平均50.5岁。小细胞未分化癌6例,鳞癌3例,腺癌2例,未分型1例。右侧肺癌9例,中心型8例,周围型1例;左侧肺癌3例,均为中心型。根据 UICC 新的肺癌分期Ⅲ期 a4
Superior vena cava syndrome (SVCS) is a relatively common oncological emergency and will quickly become life-threatening if not treated promptly and effectively. Since March of 1989, our department has treated high-dose cisplatin-based chemotherapy regimens in 12 cases and 15 cases of upper vena cava syndrome caused by lung cancer, achieving good clinical results. Clinical data were 9 males and 3 females. Age 40 to 65 years, average 50.5 years old. There were 6 cases of small cell undifferentiated carcinoma, 3 cases of squamous cell carcinoma, 2 cases of adenocarcinoma, and 1 case of undifferentiated carcinoma. There were 9 cases of lung cancer on the right side, 8 cases of central type, and 1 case of peripheral type; 3 cases of left side lung cancer were all central type. According to UICC New Lung Cancer Stage III a4