肺鳞癌腺癌纵隔淋巴结转移的特点.pdfVIP

·334· ·论著· 肺鳞癌、腺癌纵隔淋巴结转移的特点 王竞王润志袁士涛鹿晓理李玉 [摘要】 目的研究原发肺鳞癌及腺癌纵隔淋巴结转移特点，探讨临床意义。方法对353 例原发肺癌施行同侧纵隔淋巴结廓清术，病理检测淋巴结转移频度。结果清除淋巴结2380组， 平均每例6．74组。N2淋巴结转移率16．2％。Tl、T2、T，间淋巴结转移率差异有统计学意义(P 0．01)。N2转移率在鳞癌、腺癌分别为30．1％、44．1％。64．2％鳞癌N2转移为某一组淋巴结，腺癌 3组以上转移者46．2％。上叶肺癌跨区域N2转移占15．1％，下叶(包括中叶)肺癌跨区域转移占 53．1％。跳跃式转移占N2转移的53．7％。结论肺鳞癌及腺癌纵隔淋巴结转移具有多发性、跳 跃性及跨区域性特点。 【关键词】肺癌； 淋巴结转移； 淋巴结切除 【中图分类号】R734．2【文献标识码】A [文章编号】1005-6483(2008)05-0334-02 metastasisin cancer 11lefeaturesofmediastinalnodes WANG lymph lung Jing． WANG Clinical MedicalUni- Run-zhi，YUANShi—tao，eta1．(First1AffiliatedHospital，China l versity，Shenyang10001，China) To thefeaturesandclinical of nodesmeta8． [Abstract]Objectivestudy significancelymph tasistomediastiumin cancer．Methods353 with cancerunderwent pafienm operation lung lung plus of mediastmalnodes．The of nodesmetastasiswasexam— extensivedissectionSalIleside frequencylymph ined 2380 of nodeswereremoved．Therewere6．74 onthe groups pathologically．Resultslymph groups ineachcase．Metastaticrateof nodeswas16．2％．ThereWas differencein average N2 significant lymph for nodemetastasis and metastaticrate carcinomaand amongTI，T2 T，patients(P0．01)．N2squamotlfl was nodesin carcinomalocal— adenocmcinoma30．1％and 44．1％respectively．64．2％ofN2 squanmou izedtoone nodesinadenecarcinomatomorethan3 single spread