摘要
目的 探讨对伴有卫星结节的非小细胞肺癌患者的诊断及治疗策略。方法 2 3例接受手术治疗的非小细胞肺癌患者的术前CT扫描提示有性质不明的卫星结节存在。其中 2 1例获得病理诊断 ,另外 2例未获病理诊断 ,分别随访 1 6～ 2 1个月。结果 共发现 2 5个卫星结节 ,其中 1 0个结节为转移癌 ,另 1 5个结节为良性病变。当卫星结节的直径≤ 5mm或原发癌分期为Ⅰ、Ⅱ期时 ,结节是良性病变的可能性较高 ,但差异不具有统计学意义。结论 非小细胞肺癌患者伴随的卫星结节可能是转移癌 ,也可能是良性病变 ,在不能鉴别其性质时不能认为是手术的禁忌症。VATS是鉴别卫星结节性质较好的手段。
Objective To investigate the diagnosis and therapeutic strategy of non small cell lung cancer(NSCLC) associated with satellite pulmonary nodules.Methods 23 patients who underwent surgery for NSCLC had undetermined satellite pulmonary nodules at preoperative CT scan.The diagnosis of satellite nodules was confirmed by pathological examination in 21 patients while the other 2 patients were not confirmed by pathology.all the cases were followed up for 16 and 21 months.Results Satellite nodules were found in 23 patients,10 nodules were metastatic and the other 15 nodules were benign lesion.When the nodules were < 5 mm in size or the primary cancer was stage I and II,the probability of having benign lesions was higher,with no statistical significance.Conclusion The satellite nodules in patients with NSCL may be either metastatic or benign,but when the preliminary differential diagnosis cannot be obtained,the operation is not the contraindication.VATS is an ideal diagnostic tool for satellite nodules.
出处
《中国综合临床》
北大核心
2004年第3期249-251,共3页
Clinical Medicine of China
关键词
肺肿瘤/诊断
卫星结节
外科治疗
Lung cancer,diagnosis
Satellite nodules
Surgical treatment
