60例肺转移瘤的临床分析

本文报告我院肿瘤科1972—1982年间所收治的60例肺转移瘤,并对临床资料进行了分析,原发灶包括泌尿生殖系统癌31例,消化系统癌9例,骨肉瘤及软组织肉瘤7例,头颈部癌6例,神经系统肿瘤2例,呼吸系统癌肿1例和未查明的原发灶者4例。在X线胸片上转移瘤呈不同的表现,我们将其所见分为六型:①结节型、②球块型、③肺门型、④浸润型,⑤粟粒型,⑥胸水型。其大多数为结节型和球块型。原发病灶治疗后至肺转移瘤出现,其间隔期短至1个月,长者达9年。转移多发生在原发灶治疗1—2年之间。因此这类病人应该在原发瘤治疗后每三个月进行一次X线胸部拍片检查,以便早期发现及时对患者进行综合性治疗,包括手术,放疗和化疗。根据文献报告及本组分析确有延长其生存期的作用。

Clinical Study on Metastatic Pulmoaary Neoplasms—An Analysis of 60 Cases

This report presents 60 cases of matastatic pulmonary neoplasms, the primary lesions including carcinoma of the genito-urinary system(31 cases) and of the disgestive system (9 cases), sarcoma of the osseous and soft tissues (7 cases), carcinoma of the head and neck(6 cases), tumor of the nervous system (2 cases), carcinoma of the respiratory system (1 case) and an unknown cause (4 cases). Radiographic findings were different and classified into six patters. Most of them were the nodule and mass in this study. The interval between the primary lesion and the pulmonary metastasis rauged from one month to 9 years. Most of them were the nodule and the mass(球块) Metastasis developed mostly between the first and second years after operation. There fore, the patient should undergo x-ray examination every three months after the primary tumor was treated. This may prolong the survival time.