肺癌伴不同肺叶结节的诊断及治疗策略

发布时间：2018-12-21 17:13

【摘要】：目的:探讨可切除肺癌伴不同肺叶结节的诊断及处理策略。方法:回顾性分析2014年1月—2016年11月我科62例手术切除肺癌原发灶伴肺内结节患者的临床资料,分别从结节大小、数量,肺门、纵隔淋巴结转移情况,PET-CT检查,原发癌分期及结节与原发灶的关系等方面进行鉴别分析。结果:62例肺癌患者均行手术切除不同肺叶结节,38例病理检查提示良性结节,占病例总数的61%。这些良性结节中纤维组织占有16例、炎性假瘤占有5例、错构瘤占有3例、硬化性血管瘤占有1例、其他良性病变13例。24例病理检查为恶性结节,占病例总数的39%,其中为双原发肺癌1例。结论:肺癌伴不同肺叶结节应积极通过各种临床方法及手段进行鉴别诊断处理,避免将一部分肺癌伴良性结节的患者误诊为肺癌伴肺内转移,延误了早期肺癌患者的外科治疗,影响患者的预后并增加其心理负担,因此肺癌伴随不同肺叶结节应积极行外科治疗。
[Abstract]:Objective: to investigate the diagnosis and management of resectable lung cancer with different lobar nodules. Methods: from January 2014 to November 2016, the clinical data of 62 patients with primary lung cancer with intrapulmonary nodules were analyzed retrospectively. The size, number, hilar, mediastinal lymph node metastasis and PET-CT examination were analyzed respectively. The stage of primary carcinoma and the relationship between nodule and primary tumor were analyzed. Results: 62 patients with lung cancer underwent surgical resection of different lobar nodules, 38 cases showed benign nodules, accounting for 61% of the total number of cases. Among these benign nodules, 16 cases were fibrous tissue, 5 cases were inflammatory pseudotumor, 3 cases were hamartoma, 1 case was sclerosing hemangioma, 13 cases were other benign lesions. There was one case of double primary lung cancer. Conclusion: the differential diagnosis and treatment of lung cancer with different pulmonary lobar nodules should be carried out actively through various clinical methods and means to avoid misdiagnosis of some patients with lung cancer with benign nodules as lung cancer with intrapulmonary metastasis, which delays the surgical treatment of early lung cancer patients. The prognosis is affected and psychological burden is increased, so lung cancer with different lobar nodules should be actively treated by surgery.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R734.2

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