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我院自1982年3月至1990年9月进行纤支镜检查1700人次,共检出肺癌404例,35岁以下肺癌47例占检出总数11.1％。1 一般资料本文47例中男性36例,女性11例。30岁以下18例(占38.3％),最小者17岁。有明确吸烟史者12例。发病到确诊时间1周至1年。主要症状是咳嗽(21例)、胸疼(20例)、血痰(16例)、发热(13例)、气急(8例)、明显消瘦(3例)及盗汗、声哑等。本组病例均X线检查和支气管镜活检和直接刷片病检。组织学分类及支气管镜检查结果见表1、2,本组病变位于左肺16例、右肺31例。病例均经纤支镜活检和直接刷片的组织细胞学检查,病理类型见表1,其中未定型14例,由于病理所见组织过度挤压,刷片癌细胞少不易定型。
In our hospital from March 1982 to September 1990, 1700 people underwent fiberbronchoscopy, and 404 cases of lung cancer were detected. 47 cases of lung cancer under 35 accounted for 11.1% of the total. 1 General Information Of the 47 cases, 36 were male and 11 were female. 18 cases (38.3%) were under the age of 30 and the youngest were 17 years old. There were 12 cases with a clear history of smoking. Onset of diagnosis to 1 week to 1 year. The main symptoms were cough (21 cases), chest pain (20 cases), blood stasis (16 cases), fever (13 cases), shortness of breath (8 cases), marked emaciation (3 cases), night sweats, and hoarseness. This group of patients were X-ray examination and bronchoscopic biopsy and direct brush disease examination. The histological classification and bronchoscopy results are shown in Tables 1 and 2. The lesions were located in the left lung in 16 cases and right lung in 31 cases. All patients were examined by fiber bronchoscopy and direct brush histocytology. The pathological types are shown in Table 1. Among them, 14 cases were untyped. Excessive extrusion of the tissue due to pathology revealed that the brush cells were less likely to be stereotyped.