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題 名 | Surgical Treatment of Bronchial Carcinoid Tumor=肺類癌的外科治療 |
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作 者 | 賴逸儒; 李章銘; 陸希平; 謝健民; 李俊仁; 李元麒; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:2 民85.03-04 |
頁 次 | 頁138-144 |
分類號 | 416.224 |
關鍵詞 | 肺類癌; 外科治療; Bronchial carcinoid; Surgery; |
語 文 | 英文(English) |
中文摘要 | 自1976年至1994年,共有12例肺類癌病人在本院接受外科治療。其中有 男性9例,女性3例。年齡分布自19歲至78歲。平均50.1歲。除壹例屬非典型肺類 癌外,其餘的組織分類皆屬於典型肺類癌。7例病人的腫瘤位於肺中央地帶,另5 例則位於肺周邊地帶。症狀以痰中帶血和咳嗽最常發生,但其中2例完全沒有症 狀。在本系列病人中並沒有發生類癌症候群。依照腫瘤的位置和侵襲程度,手術 方式包括6例肺葉切除術。3例單側肺切除術,1例雙肺葉切除術,1例袖口肺葉切 除術(sleeve lobectomy)。另1例接受楔型肺切除術。並無手術死亡或重大併發症發 生。追蹤期間自6個月至15年不等。3例在術中發現肺門或縱隔淋巴腺轉移者,有 2例分別在術後11及19個月死於癌擴散。9例沒有淋巴腺轉移者,有8例目前均存 活,且其中5例存活期間已超過5年。壹例非典型肺類癌於術後六個月死於多發轉 移。三例腫瘤直徑小於3公分者皆存活5年以上。由以上經驗可知,外科治療肺類 癌的結果良好,但局部淋巴腺轉移與否,腫瘤大小。和組織分類是影響預後的重 要因素。 |
英文摘要 | From 1976 to 1994, 12 patients with bronchial carcinoid underwent surgeryhere. Among them were nine males and three females whose mean age was50.1 years, with a range of 19-78 years. Except for one atypical type, theother histologies were of typical carcinoid tumor. The lesions were locatedat the central part of lung in seven, and at the peripheral part in five patients. Blood-tinged sputum and cough were the most common symptoms,while two of the 12 patients were totally asymptomatic. None of these patients presented carcinoid syndromes. According to the location and invasiveness, lobectomy was performed in six, pneumonectomy in three, bilobectomy in one, sleeve resection in one and wedge resection in one patient.A complete follow-up ranging from 14 months to 15 years was obtained.Three of the 12 patients had metastatic hilar or mediastinum lymph nodesat operation, and two of them died of dissemination II and 19 monthslater, respectively. Eight of nine patients who had no regional lymph nodeinvolvement are surviving at the present, including five patients who havelived for more than five years. One patient with atypical carcinoids died ofmetastasis six months after surgery. Three patients with tumors of a sizesmaller than 3cm in diameter all survived for more than five years aftersurgery. It was concluded that patients of bronchial carcinoid tumor mayhave a rather benign course, but regional lymph node involvement, tumorsize and histological types are important prognostic factors. |
本系統中英文摘要資訊取自各篇刊載內容。