原发性肺类癌17例临床分析

目的：探讨肺类癌的分类及治疗方法。方法：结合文献回顾分析了1983年5月－1998年5月我院收治的17例肺类癌的临床资料。结果：类癌分为典型类癌及不典型类癌，典型类癌较不典型类癌预后好，3年生存分别为5／6，4／11，不典型类癌组，手术＋化疗＋放疗组和化疗＋放疗组疗效相当。结论：典型类癌应以手术治疗为主，预后较好，不典型类癌易出现远处转移，预后较差，化疗是其主要治疗手段，放疗是有效的姑息治疗手段。

Clinical analysis of 17 cases of lung carcinoid tumor

Objective To study the classification and treatment modalities of lung carcinoid tumor.Methods 17 cases of lung carcinoid tumor from May 1983 to May 1998 were reviewed and analysed. Results Lung carcinoid tumors were classified into two sub groups: typical carcinoid tumor and non typical carcinoid tumor. The prognosis of typical carcinoid tumor was better than that of non typical carcinoid tumor. 3 year survival was 5/6 for typical carcinoid tumor, 4/11 for non typical carcinoid tumor. There was no statistic significance in the treatment outcome between patients receiving operation+chemotherapy+radiotherapy and patients receiving chemotherapy+radiotherapy in non typical carcinoid tumor. Conclusion Operation should be considered as the first choice for typical carcinoid tumor that has a good prognosis. Non typical carcinoid tumor tends to be metastatic and has a poor prognosis. Chemotherapy should be considered as the first choice and radiotherapy as palliative for non typical carcinoid tumor .