肺黏液表皮样癌15例临床特征分析及文献回顾

Chinese and Foreign Medical Research(2020)

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Abstract
目的:分析肺黏液表皮样癌(pulmonary mucoepidermoid carcinoma,PMEC)临床特点、诊治方法及预后.方法:回顾性分析经笔者所在医院诊治的15例原发PMEC患者,其中男9例,女6例.胸片检查1例,胸部CT检查14例;纤支镜检查13例.行肺叶切除7例,袖式切除+支气管成形术5例,单侧肺全切除术2例,1例未行手术予以化疗.术后辅助化疗7例.无放疗病例及TKI治疗病例.结果:全部手术患者均治愈出院.病理为高分化11例,低分化4例.术后平均随访54.20个月,2例术后非肿瘤进展死亡,1例未手术患者因肿瘤进展死亡,其余12例手术患者随访5年均无疾病进展生存.结论:PMEC临床罕见且大多数肿瘤为低度恶性,完整手术切除是该病首选治疗方法,并可能使患者获得长期生存.
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