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肺癌术中胸腔冲洗液细胞学检测对患者3年生存率的评估价值

丁征平 申屠阳 韩文彬 周允中 王克强

中国临床康复2003,Vol.7Issue(18):2513-2514,2.
中国临床康复2003,Vol.7Issue(18):2513-2514,2.

肺癌术中胸腔冲洗液细胞学检测对患者3年生存率的评估价值

The assessment value of pleural lavage cytology during operation for the patient's 3-year-survival rate with lung cancer

丁征平 1申屠阳 1韩文彬 1周允中 1王克强2

作者信息

  • 1. 上海市胸科医院胸外科,上海,200030
  • 2. 复旦大学中山医院心血管病研究所,上海,200032
  • 折叠

摘要

Abstract

Aim To study the prognostic value of pleural lavage cytology during operation in patients with lung cancer. Methods From October 1998 to May 2002,One hundred patients without pleural effusion who underwent lobectomy or pneumonectomy for lung cancer entered this study. Lavage was performed before lung manipulation and after resection and cytologically evaluated. Every case was followed up. Results Eight cases had positive findings in cytology before resection, five cases were positive after resection . The three years survival rate was 20% in cytology positive cases, and 60% in cytology negative cases, respectively. The positivity of pleural lavage cytology was related to the pathologic stage, cytologic type, tumor size and degree of pleural extension of the tumor. Conclusion The examination of pleural lavage cytology during operation can indicate the pleura micrometastasis. Positive cytology may be an important prognostic factor for the patients with lung cancer.

关键词

癌 ,支气管原/外科手术/细胞学

Key words

carcinoma,bronchogenic/surgical prdedures,operative/cytology

分类

医药卫生

引用本文复制引用

丁征平,申屠阳,韩文彬,周允中,王克强..肺癌术中胸腔冲洗液细胞学检测对患者3年生存率的评估价值[J].中国临床康复,2003,7(18):2513-2514,2.

基金项目

上海市卫生局青年医学科研基金资助项目( 131984Y13) ( 131984Y13)

中国临床康复

OACSTPCD

2095-4344

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