肺不典型类癌五例临床分析

王磊; 袁茂玲; 彭妍; 俞鹏翼; 汪潜云; 王中林

doi:10.3760/cma.j.issn.1671-7368.2016.10.017

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ENGLISH ABSTRACT

肺不典型类癌五例临床分析

作者及单位信息

出版日期： 2016 -10 -04 ·

DOI： 10.3760/cma.j.issn.1671-7368.2016.10.017

Clinical analysis of 5 cases of atypical pulmonary carcinoid

Authors Info & Affiliations

Wang Lei

Department of Gastrointestinal Surgery, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Yuan Maoling

Department of Geriatric Medicine, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Peng Yan

Department of Patholoby, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Yu Pengyi

Department of Thoracic Surgery, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Wang Qianyun

Department of Thoracic Surgery, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Wang Zhonglin

Department of Thoracic Surgery, the First People′s Hospital of Changzhou, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu, China

Published： 2016 -10 -04 ·

DOI： 10.3760/cma.j.issn.1671-7368.2016.10.017

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摘要

回顾分析2000年1月至2015年12月诊治、病理确诊的5例不典型类癌患者的临床资料。5例中，男2例，女3例，年龄39～76岁；体检发现2例，刺激性干咳2例，胸痛1例，咯血1例，痰中带血1例，均无类癌综合征表现。血癌胚抗原水平偏高1例；CT检查均提示占位病变；痰细胞学检查均阴性；4例行纤维支气管镜检查阳性。均行手术治疗，2例辅以化疗。术后随访24～58个月，1例术后1年发现前列腺癌骨转移，带瘤生存，4例无瘤生存。提示，肺不典型类癌临床少见，术前诊断较为困难，术后病理是确诊的主要方法，手术是治疗肺不典型类癌的有效方法，术后需要长期随访。

关键词：神经内分泌瘤;肺

引用本文

王磊,袁茂玲,彭妍,等. 肺不典型类癌五例临床分析[J]. 中华全科医师杂志,2016,15(10)：800-801.

DOI:10.3760/cma.j.issn.1671-7368.2016.10.017

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版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

第4版WHO肺、胸膜、胸腺及心脏肿瘤分类于2015年初出版，其首次将小细胞癌(SCLC)、复合性SCLC、大细胞神经内分泌癌(LCNEC )、复合性LCNEC、不典型类癌(atypical carcinoid, AC)、典型类癌(typical carcinoid，TC)及弥漫性特发性的神经内分泌细胞增生(癌前病变)统一归为神经内分泌肿瘤(pulmonary neuroendocrine tumors，pNET) ^{[
1
]}。其中典型类癌和不典型类癌，分别被划为低度和中度恶性神经内分泌肿瘤，诊断标准同2004版 ^{[
2
]}。由于AC较少见，对其诊断、治疗和预后等往往难以把握，本文回顾分析我院收治的5例患者临床资料。

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摘要
参考文献

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通信作者：袁茂玲，Email： mocdef.qabq669732623

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