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目的 :探讨女性肺癌临床症状、病理类型特点及其与预后的关系。方法 :收集1988～1998年320例女性肺癌患者资料进行回顾性分析。结果 :女性肺癌中病理类型分别为腺癌48.3 % ,鳞癌16.6% ,小细胞肺癌9.1%。20.1%病人以肺外症状就诊 ,84.5 %的非小细胞肺癌诊断时即为Ⅲ～Ⅳ期。全部病人的5年生存率为5% ,采用包括手术切除在内综合治疗手段病人的5年生存率为14.5 %。结论 :女性肺癌以肺癌转移部位症状为首发症状者 ,易误诊 ;临床资料显示病理类型与预后关系不大 ,而临床分期及相当的治疗方法是影响预后较重要的因素
Objective: To investigate the clinical symptoms and pathological features of female lung cancer and its relationship with prognosis. Methods: The data of 320 female patients with lung cancer from 1988 to 1998 were retrospectively analyzed. Results: The pathological types of lung cancer were 48.3% in adenocarcinoma, 16.6% in squamous cell carcinoma and 9.1% in small cell lung cancer. 20.1% of patients treated with extrapulmonary symptoms, 84.5% of non-small cell lung cancer diagnosis is Ⅲ ~ Ⅳ period. The 5-year overall survival rate for all patients was 5%. The 5-year overall survival rate was 14.5% for patients undergoing combined treatment including surgical excision. Conclusion: Female lung cancer with lung cancer metastasis symptoms as the first symptom, easily misdiagnosed; clinical data show that the pathological type and prognosis is not significant, but the clinical stage and the equivalent treatment is more important prognostic factors