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目的探讨青年人原发性支气管肺癌临床及病理特点。方法对2007年1月至2008年12月我院收治217例40岁以下的原发性支气管肺癌患者进行回顾性分析。结果青年人肺癌男女比例为1.47∶1,病理类型以腺癌最多占42.4%,其次鳞癌为29%及小细胞肺癌为15.7%。TNM分期以Ⅲb-Ⅳ期居多占71.9%,手术切除率低。结论青年肺癌病理类型以腺癌最多,其次为鳞癌及小细胞肺癌,确诊时多为晚期,预后差。重视青年患者的肺部表现,及时行相应检查,有助于肺癌的早期诊断及治疗。
Objective To investigate the clinical and pathological features of primary bronchogenic carcinoma in young people. Methods From January 2007 to December 2008, 217 cases of primary bronchogenic carcinoma under 40 years old were treated in our hospital for retrospective analysis. Results The ratio of male to female lung cancer in young people was 1.47:1. The pathological types included adenocarcinoma up to 42.4%, followed by squamous cell carcinoma (29%) and small cell lung cancer (15.7%). TNM staging to Ⅲb-Ⅳ accounted for 71.9%, surgical resection rate is low. Conclusion The most common pathological types of lung cancer in young patients are adenocarcinoma, followed by squamous cell carcinoma and small cell lung cancer. Most of them are newly diagnosed with poor prognosis. Emphasis on the performance of young patients with lungs, timely and appropriate inspection line, contribute to the early diagnosis and treatment of lung cancer.