以多发磨玻璃影为表现肺癌的评价和处理

被引：3

作者：

邱小玲

徐燕

王孟昭

机构：

[1] 中国医学科学院北京协和医院

来源：

中国肿瘤 | 2017年 / 26卷 / 07期

关键词：

肺肿瘤; 磨玻璃结节; 多原发癌; 诊断; 治疗;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100117 [系统生物医学];

摘要：

近年来,肺部磨玻璃影(ground-glass opacity,GGO)逐渐得到临床医生关注,GGO多数情况下呈惰性,但也可进一步发展为肺癌。肺多发GGO肺癌大部分为多原发癌(multiple primary lung cancer,MPLC),不是肺内转移癌。对于怀疑为多发GGO肺癌,治疗方式主要为手术切除,同时获得病理诊断,通过不同病灶的驱动基因检测最终明确多原发癌的诊断。手术方式可以选择亚肺叶切除或楔形切除最主要的病灶。研究表明最主要病灶的直径和病灶类型与预后明显相关,而遗留的GGO病灶是否长大、是否出现新的GGO病灶、是否所有的GGO病灶被处理对患者的预后影响小。该文旨在正确评价和处理肺多发GGO肺癌。

引用

页码：540 / 543

页数：4

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