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目的探讨肺癌肉瘤的临床病理特点及诊断。方法对5例肺癌肉瘤的临床资料进行回顾性分析,并结合文献,分析临床病理特征。结果肺癌肉瘤好发于老年男性,X线示周围型居多。镜下肿瘤主要由恶性上皮成分、间叶成分组成,癌、肉瘤成分多样。光镜及免疫组化分析可确诊。结论肺癌肉瘤临床特点和CT表现和肺癌不易区别,组织病理学检查是确诊最有力的依据。
Objective To investigate the clinicopathological features and diagnosis of pulmonary sarcoma. Methods The clinical data of 5 patients with lung cancer were analyzed retrospectively. The clinical and pathological features were analyzed based on the literature. Results of lung cancer sarcoma occurs in older men, X-ray showed mostly peripheral type. Microscopic tumor consists of malignant epithelial components, mesenchyme composition, cancer, sarcoma diversity. Light microscopy and immunohistochemistry can be diagnosed. Conclusion The clinical features of lung cancer and CT and lung cancer is not easy to distinguish, histopathological examination is the most powerful basis for diagnosis.