我院胸外科自 1993年 8月到 1997年5月分别对 3例分期为Ｔ1Ｎ1Ｍ0 ,一般状况良好的原发肺癌合并第二原发癌的患者施行了Ⅰ期手术治疗 ,疗效显著 ,现报告如下 ,并结合文献进行讨论。病例 1　女性 ,38岁 ,因咳痰带血丝 1个月入院 ,胸部影象学诊断为右下肺中心型肺癌 ,支气管镜活 My hospital thoracic surgery from August 1993 to May 1997, respectively, three cases of stage T1N1M0, the general condition of primary lung cancer with primary cancer in patients with second-stage surgery was performed Ⅰ, the effect is significant, are as follows , And discuss with the literature. Case 1 Female, 38 years old, hospitalized for one month due to sputum with bloodshot eyes, chest imaging diagnosis of right lower lung central lung cancer, bronchoscopy activity