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同時性肺癌の臨床的検討


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Title: 同時性肺癌の臨床的検討
Authors: 君野, 孝二 / 綾部, 公懿 / 川原, 克信 / 田川, 泰 / 原, 信介 / 岡, 忠之 / 辻, 博治 / 谷口, 英樹 / 仲宗根, 朝紀 / 富田, 正雄
Authors (alternative): Kimino, Koji / Ayabe, Hiroyoshi / Kawahara, Katsunobu / Tagawa, Yasushi / Hara, Shinsuke / Oka, Tadayuki / Tsuji, Hiroharu / Taniguchi, Hideki / Nakasone, Tomonori / Tomita, Masao
Issue Date: 20-Feb-1990
Publisher: 日本肺癌学会
Citation: 肺癌 = Japanese Journal of Lung Cancer, 30(1), p.43-49; 1990
Abstract: 原発性肺癌切除症例642例中、同時性肺癌は5例0.79%であり、全例Brinkman Index1200以上の男性、集団検診での要精査例であった。病巣は、同一肺葉1例、同側肺2例、左右両肺2例で、一期的切除を3例、二期的切除を2例に施行した。同時性肺癌の治療に際しては、転移・再発肺癌との鑑別が重要であり、多発肺癌でも切除可能であれば積極的に外科治療を行なうことでより良い予後を期待できると考えられる。 / Six hundred and forty two patients underwent operations for primary lung cancer in our department. Five patients(0.79%)had synchronous lung cancer. All patients were men and heavy smokers with a mean age of 65.5 year(range 58 to 78 years). For preservation of lung tissue, limited operations were performed in three cases and bronchoplastic procedures were performed twice in one case. Only one case in which the tumors located in separate segments of the same lobe and were small cell carcinoma and adenocarcinoma had lymph node metastases(from adenocarcinoma). The most common histological type of the synchronous lung cancer has been reported to be squamous cell carcinoma. Two each among our five multiple primary lung cancer cases showed a histological combination of either double squamous cell carcinomas or squamous cell carcinoma and adenocarcinoma. Clinical features and histological confirmation are very important for the diagnosis of the synchronous lung cancer. It seems that resection is the best way to obtain a good prognosis.
Keywords: Lung cancer / Synchronous lung cancer / Limited operation
URI: http://hdl.handle.net/10069/20249
ISSN: 03869628
Relational Links: http://ci.nii.ac.jp/naid/110003120473/
Rights: 日本肺癌学会 / 本文データは学協会の許諾に基づきCiNiiから複製したものである
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20249

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