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500例肺癌患者首诊症状及其影响因素分析

张昕 邢镨元 郝学志 李峻岭

中国肺癌杂志2018,Vol.21Issue(5):408-412,5.
中国肺癌杂志2018,Vol.21Issue(5):408-412,5.DOI:10.3779/j.issn.1009-3419.2018.05.09

500例肺癌患者首诊症状及其影响因素分析

Analysis of the First Diagnosis Symptom and Its Influencing Factors in 500 Patients with Lung Cancer

张昕 1邢镨元 1郝学志 1李峻岭1

作者信息

  • 1. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院
  • 折叠

摘要

Abstract

Background and objective As the morbidity and mortality in lung cancer keep raising, we are here to discuss the effect of clinical features especially the initial symptomon on diagnosis and follow-up treatment of newly diag-nosed lung cancer patients. Methods The clinical features of the 500 patients with lung cancer in our hospital from March, 2017 to May,2017 were analyzed retrospectively,including the initial symptom,stage,biomarkers,pathology,etc.ResultsThere were 266 famle (53.3%), 372 adenocarcinoma (74.4%), 285 smokers (58%), status score of most patients (98.2%) was 0-1.58.2%(n=291)of all the patients got biomarkers test,of which epidermal growth factor receptor(EGFR)mutations was 61.2%(178/291),anaplasticlymphoma kinase(ALK)fusion gene positive was 4.1%(12/291).Smoking status,initial symp-tom,pathological typing,TNM staging and EGFR mutation were the main factors affecting follow-up treatment.Conclusion Patients with typical symptoms have shorter diagnosis time. Smoking status, lung cancer-related symptoms, pathology, TNM staging and EGFR mutation status are the main factors that affect the follow-up treatment.

关键词

肺肿瘤/症状/诊断/治疗/影响因素

Key words

Lung neoplasms/Symptom/Diagnosis/Treatment/Influencing factors

引用本文复制引用

张昕,邢镨元,郝学志,李峻岭..500例肺癌患者首诊症状及其影响因素分析[J].中国肺癌杂志,2018,21(5):408-412,5.

中国肺癌杂志

OA北大核心CSCDCSTPCDMEDLINE

1009-3419

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