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題 名 | Solitary Pulmonary Nodule=孤立性肺結節 |
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作 者 | 錢大維; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 18:2 1985.06[民74.06] |
頁 次 | 頁168-171 |
分類號 | 416.224 |
關鍵詞 | 孤立性肺結節; |
語 文 | 英文(English) |
中文摘要 | 孤立性肺結節有時候是相當難以診斷的。從1981年到1984年間,在榮民總醫院胸腔外科共有105位孤立性肺結節病人,未能在手術前獲得確實診斷而接受胸腔剖開術。病人的平均年齡為56歲,男性72位(佔68%),女性32位(佔32%)。其中57位病人(佔54%),經病理診斷為惡性腫瘤。惡性的孤立性肺結節在40歲以下的病人佔20%,41歲到50歲間佔40%,51歲到60歲佔47%,61歲到70歲佔68%,71歲斟上佔82%。由此可見病人年齡越大,其得到惡性孤立性肺結節的可能性也說越高。所以我們主張在40歲以上的病人,胸部X光片顯示有孤立性肺結節者而未能確定為良性病變,如情況許可,皆應接受胸腔剖開術以確定診斷。 |
英文摘要 | Solitary pulmonary nodule is sometimes difficult to diagnose without exploratory thoracotomy. The one hundred and five patients with solitary pulmonary nodules who received exploratory thoracotomy from 1981 to 1984 in the Veterans General hospital, Shih-Pai, are reviewed. These patients did not have a definite preoperative diagnosis. Fifty-seven patients (54%) were proved to have malignant pulmonary nodules after thoracotomy. For patients over 40 years of age, the incidence of malignancy is 59%. The incidence of malignancy is directly proportional to patient age. Exploratory thoracotomy is suggested as necessary for the patients over 40 years old with solitary pulmonary nodules whether the exact diagnosis is made or not. |
本系統中英文摘要資訊取自各篇刊載內容。