低度恶性型肺黏液表皮样癌5例分析

  • 摘要: 目的:分析低度恶性肺黏液表皮样癌的诊断、发病年龄、影像学特点、临床特点、外科治疗、随访及预后情况。方法: 回顾总结5例手术切除的原发性肺黏液表皮样癌,行肺叶切除术3例, 肺叶切除加支气管袖状切除1例, 肺楔形切除1例, 并分析其临床特征。结果:5例术前经影像学检查均确诊为恶性肿瘤, 3例中央型术前行纤支镜检查, 其中1例考虑肺黏液细胞癌, 1例查出癌细胞, 1例未查出癌细胞。4例完全切除病例均未发现淋巴结转移。术后随访1、 3、 5年生存率均为100%。结论: 低度恶性肺黏液表皮样癌经彻底手术切除可获治愈。

     

    Abstract: Analysis of Low-grade Malignant Mucoepidermoid Bronchial Tumor: A Report of 5 CasesHongxu CAI, Pingping SONG, Baijiang ZHANGCorrespondence to: Baijing ZHANG, E-mail: zhbaijiang@sina.comDepartment of Thoracic Surgery, Shandong Tumor Hospital, Ji'nan 250000, ChinaAbstract Objective: To investigate the surgical treatment, clinical characteristics, diagnosis and prognosis of low-grade malig-nant mucoepidermoid bronchial tumor. Methods: Of the 10 cases reviewed, 5 underwent resection of low-grade malignant mucoepider-moid bronchial tumor, three cases underwent pulmonary lobectomy, one case underwent bronchial sleeve lobectomy with excision, andone case underwent wedge resection of the lung. The clinical characteristics, surgical treatment and prognosis were analyzed. Results:Based on the examination of the preoperative images, 5 cases were diagnosed as malignant, three cases underwent bronchoscopy andone case had mucinous cell carcinoma of the lung. Postoperative follow-up showed that the 1-, 3-, and 5-year survival rates were100%, 100% and 100%. Conclusion: Low-grade malignant mucoepidermoid bronchial tumor can be cured by radical surgery.Keywords Lung neoplasm; Mucoepidermoid tumor; Surgical treatment; Prognosis

     

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