论文部分内容阅读
目的探讨青年人肺癌患者的临床和纤支镜检查的特征。方法对111例39岁以下青年人肺癌纤支镜检查资料进行回顾性分析。结果青年肺癌患者占同期肺癌的6.55%,男女比例为1.47/1;95.50%的患者X线检查发现肺部肿块影、片状模糊影、肺不张等;发生部位右肺多于左肺,肺门及上肺最常见;纤支镜下改变以直接征象占80.18%,间接征象占18.02%,镜下未见异常占1.8%;组织学分型以小细胞癌居首位41例(36.94%),差分化癌32例(28.83%),鳞癌23例(20.72%),腺癌14例(12.61%)和原位癌1例(0.9%)。结论青年人肺癌临床表现无特殊性而易误诊,应提高对青年肺癌的警惕性,纤支镜检查有助于早期发现和确诊。
Objective To investigate the characteristics of clinical and bronchofibroscopy in young patients with lung cancer. Methods A retrospective analysis of 111 cases of young people under 39 years of age with lung cancer bronchoscopy data were retrospectively analyzed. Results Young lung cancer patients accounted for 6.55% of the same period lung cancer, male to female ratio was 1.47 / 1; 95.50% of patients X-ray examination showed pulmonary mass shadow, patchy blur, atelectasis, etc; occurred more right lung than the left lung, Hypothyroidism and upper lung were the most common. Bronchoscopy changed directly to 80.18%, Indirect signs accounted for 18.02%, Microscopic findings showed no abnormality accounted for 1.8%. Histological type in small cell carcinoma ranked the first 41 cases (36.94% ), Differentiated carcinoma in 32 cases (28.83%), squamous cell carcinoma in 23 cases (20.72%), adenocarcinoma in 14 cases (12.61%) and carcinoma in situ in 1 case (0.9%). Conclusion The clinical manifestations of lung cancer in young people are peculiar and misdiagnosed. The vigilance of young lung cancer should be improved. Fiberoptic bronchoscopy is helpful for the early detection and diagnosis.