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Treatment and prognosis of pulmonary carcinoid tumors
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIATION ONCOLOGY
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1004-4221.2001.03.005
- Key Word:
- 肺类癌/外科学;肺类癌/放射疗法;生存率;预后因素
Abstract： 目的总结肺类癌的临床特点、治疗方法及疗效,评价影响预后的因素. 方法回顾性分析25例肺类癌的临床资料.其中典型类癌(TC)16例,非典型类癌(AC)9例.根据1997年国际抗癌联盟分期,Ⅰ期15例(TC 14例,AC 1例), Ⅱ期4例(TC 1例, AC 3例),Ⅲ期6例(TC1例, AC 5例).25例患者均手术治疗, 其中18例行单纯手术治疗,5例行术后放射治疗,2例行术后化疗. 结果全组5年和10年生存率分别为87%和72%,单纯手术治疗患者5年生存率为93%,术后辅助治疗的患者无1例生存超过5年.典型类癌的5年生存率为100%,而非典型类癌为38%. Ⅰ期5年生存率为100%、Ⅱ+Ⅲ期为53%.单因素分析示病理类型和分期均为有显著性意义的预后因素. 结论肺类癌以手术治疗为主,对于Ⅲ期肺非典型类癌,推荐术后行辅助性化疗和(或)放射治疗.多数肺类癌患者可获得长期生存,影响预后的因素主要为病理类型和分期.
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