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本文报告<40岁青年人肺癌67例,其中小细胞肺癌占43.3%、腺癌37.3%。手术治疗28例,非手术治疗35例。作者就青年人肺癌临床及病理特点、手术治疗和非手术治疗效果进行了讨论,认为青年人肺癌之所以病情进展快,恶性度高,与小细胞为主有关。早期应用纤维支气管镜和痰瘤细胞学检查有助于早期诊断,尽早手术治疗可取得与中老年患者相似的治疗效果。建议青年人肺癌术后采用辅助化疗、放疗。
This article reports 67 cases of lung cancer in young people aged 40 years, of which small-cell lung cancer accounts for 43.3% and adenocarcinoma 37.3%. Surgical treatment of 28 cases, 35 cases of non-surgical treatment. The author discussed the clinical and pathological characteristics of young people with lung cancer, surgical treatment and non-surgical treatment of the effect, that the young people with lung cancer progression is fast, high degree of malignancy, and mainly related to small cells. The early application of fiberoptic bronchoscopy and cytologic cytology of the tumors is helpful for early diagnosis. Early surgical treatment can achieve similar treatment effects with middle-aged and elderly patients. It is suggested that postoperative adjuvant chemotherapy and radiotherapy be used for young patients with lung cancer.