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題 名 | Surgical Resection for Pulmonary Metastases--Preliminary Report=癌病肺轉之外科切除--初步報告 |
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作 者 | 李世俊; 柯萬盛; 張比高; 吳政元; | 書刊名 | 醫學研究 |
卷 期 | 14:2 1993.09[民82.09] |
頁 次 | 頁91-102 |
分類號 | 416.224 |
關鍵詞 | 外科切除; 癌病肺轉; |
語 文 | 英文(English) |
中文摘要 | 三軍總醫院從66年7月至81年4月共集收23例肺部轉移癌患者接受31次肺切除手術,單肺摘除最多的個數為36,術後存活時間由3個月至171個月不等,平均中數為60.38月,30個月累積存活率達59.5%,對於轉移性肺癌,在慎選病人情況下,手術切除是有治療的價值。 當兩側肺部皆有轉移時,可施分期開胸術或胸骨正中切開術以摘除轉移性病灶而並非為手術之忌症,儘可能採局部切除轉移性肺部腫瘤的方法以保存較多功能的肺部組織較適宜,至於接近深部或肺門部之較大病灶,肺葉或全肺切除是有其必要的。 比較復發組與未復發組之腫瘤增倍期長短(TDT)和無腫瘤期(TFI)此兩組並無明顯之差異。另發現若合併縱膈腔內淋巴轉移時預後會較差。 由於我們收集的個案數目很少,加上追蹤的時間不夠完整,無法像國外的文 獻中可預估術後存活時間與預後因素其間的關係,往後在這方面我們將繼續收集和追蹤,以便作較完整的分析報告。 |
英文摘要 | We reviewed the role of the pulmonary resection for metastatic pulmonary lesions in Tri-Service General Hospital. From July 1977 to April 1992, there were 23 patients who underwent 31 thoracotomies. There was no perative mortality. Follow-up was obtained on all the patients. The cumulative 30 months survival rate was 59.5% and the mean survival time was 60.38 months. The longest survival time was 171 months and the patient was still alive without recurrence. Staged the racotomies was used in those patients with bilateral pulmonary metastases. The patients with mediastinal lymph nodes metastases have a very poor prognosis. The patient who had received a pneumonectomy tolerated the removal of a metastatic lesion in the opposite lung. The highest number of metastatic lesion removed from one lung was 36. Local or wedge excision was indicated in peripheral lesions and lobectomy or pneumonectomy was indicated in large or deeply located lesions. There was no significant difference between those patients with recurrence and those patients without recurrence in both tumor doubling time (TDT) and tumor free interval (TFI). |
本系統中英文摘要資訊取自各篇刊載內容。