医学临床研究
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医学临床研究  2020, Vol. 37 Issue (7): 1005-1007    DOI: 10.3969/j.issn.1671-7171.2020.07.014
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肺肉瘤样癌患者临床特征与生存状况分析
赵春凤1, 黄鑫2
1.广元湘康医院内科,四川 广元 628000;
2.四川大学华西医院心内科,四川 成都 610000
Clinical Characteristics and Survival Status of Patients with Pulmonary Sarcomatoid Carcinoma
ZHAO Chun-feng, HUANG Xin
Department of Internal Medicine, Guangyuan Xiangkang Hospital ,Guangyuan Sichuan 628000
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摘要 目的】 探讨肺肉瘤样癌(PSC)患者临床特点与生存状况。【方法】 回顾性分析2016年1月至2019年1月在本院诊治的75例PSC患者的临床资料,分析PSC患者临床特征与生存状况。【结果】 临床症状主要有咳嗽、咳血、胸痛和胸闷等, TNM分为Ⅰ期、Ⅱ期、Ⅲ期和Ⅳ期;胸部CT平扫和增强扫描显示:肿瘤形态均为单发圆形或类圆形实质性结节或肿块,平均直径(4.71±2.29)cm;患者性别、年龄、有无吸烟史、肿瘤位置、手术加术后辅助化疗与单纯手术治疗以及晚期放化疗与未治疗与患者的累积生存率差异不明显,而肿瘤大小、有无淋巴结转移、有无远处转移、TNM分期和是否实施早期手术治疗影响患者的累积生存率。【结论】 PSC具有特征表现,患者生存状况较差,放化疗效果不理想,可通过实施早期手术治疗,有利于患者的生存状况。
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赵春凤
黄鑫
关键词 肺肿瘤肉瘤样癌预后    
Abstract:【Objective】 To investigate the clinical characteristics and survival status of patients with pulmonary sarcomatoid carcinoma (PSC). 【Methods】 The clinical data of 75 PSC patients diagnosed and treated in our hospital from January 2016 to January 2019 were retrospectively analyzed, and the clinical characteristics and survival status of PSC patients were analyzed. 【Results】 The main clinical symptoms were cough, hemoptysis, chest pain and chest tightness. TNM was divided into stage Ⅰ, stage Ⅱ, stage Ⅲ and stage IV. chest CT plain scan and enhanced scan showed that the tumor morphology was a single round or quasi round solid nodule or mass with an average diameter of (4.71±2.29) cm; there was no significant difference in the cumulative survival rate between patients with gender, age, smoking history, tumor location, surgery plus postoperative adjuvant chemotherapy, surgery alone, advanced radiotherapy and chemotherapy and no treatment; tumor size, lymph node metastasis, distant metastasis, TNM stage and early surgical treatment affected the cumulative survival rate.【Conclusion】 PSC has characteristic manifestations, the patient's survival status is poor, and the effect of radiotherapy and chemotherapy is not ideal. Early surgical treatment can be implemented to benefit the patient's survival status.
Key wordsPulmonary Neoplasm    Sarcomatoid Carcinoma    Prognosis
收稿日期: 2019-04-02     
PACS:  R734.2  
引用本文:   
赵春凤, 黄鑫. 肺肉瘤样癌患者临床特征与生存状况分析[J]. 医学临床研究, 2020, 37(7): 1005-1007.
ZHAO Chun-feng, HUANG Xin. Clinical Characteristics and Survival Status of Patients with Pulmonary Sarcomatoid Carcinoma. JOURNAL OF CLINICAL RESEARCH, 2020, 37(7): 1005-1007.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.07.014     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I7/1005
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