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目的探讨无症状肺癌患者的临床诊断和治疗方法。方法回顾性分析16例无症状肺癌患者的临床资料。结果病理组织学分型为鳞癌9例,腺癌1例,大细胞癌1例,小细胞癌3例,腺鳞癌2例。有纵隔或隆突下淋巴结转移者5例。手术切除率100%,患者未出现围术期死亡。结论健康中老年人尤其是高危人群,应定期做全身体检,做到早发现和早治疗;对各种无症状肺部阴影患者,均应高度怀疑为无症状肺癌,如未见远处转移征象,则均应积极采取手术进行治疗。
Objective To investigate the clinical diagnosis and treatment of asymptomatic lung cancer patients. Methods The clinical data of 16 asymptomatic lung cancer patients were retrospectively analyzed. Results There were 9 cases of squamous cell carcinoma, 1 case of adenocarcinoma, 1 case of large cell carcinoma, 3 cases of small cell carcinoma and 2 cases of adenosquamous carcinoma. Mediastinal or subglottic lymph node metastasis in 5 cases. Surgical resection rate of 100%, patients did not appear perioperative deaths. Conclusion Healthy middle-aged and elderly people, especially those at high risk, should undergo regular physical examinations to achieve early detection and early treatment. Patients with asymptomatic lung shadow should be highly suspected as asymptomatic lung cancer, with no evidence of distant metastasis , Should be actively taken for surgery.