非小细胞肺癌伴对侧肺内结节的外科治疗

摘要

Objective To investigate the diagnosis and therapeutic strategy of non - small cell lung cancer(NSCLC) with contralateral pulmonary nodules.Methods A total of 24 NSCLC patients with contralateral pulmonary nodules were given surgical treatments.Adjuvant chemotherapy and/or radiotherapy were performed after the operation.All the patients were followed up for 14 to 21 months.Results Among the 24 cases, six nodules were found to be primary or metastatic tumor.The size of nodules, the stage and type of primary lung cancer were not associated with the nature of nodules.Conclusion NSCLC with contralateral pulmonary nodule is not a contraindication to surgical treatment when the definite pathological results cannot be achieved.%目的 探讨非小细胞肺癌伴对侧肺结节的诊断及治疗.方法 24例获明确诊断的非小细胞肺癌患者伴对侧肺结节,均接受手术治疗,术后辅助放、化疗,并定期跟踪随访14～21个月.结果 24例患者中,其中6例有原发或转移癌;肺结节的大小,原发癌的病理类型和分期与结节性质之间无联系.结论 非小细胞肺癌患者伴对侧肺结节,如果不能取得病理学诊断,也并非是手术的禁忌证.