Experience and Progress Processing Policy of Simultaneous Multiple Primary Lung Cancer

• Main Authors: Liankui HAN, Shugeng GAO, Fengwei TAN, Ziran ZHAO, Peng SONG
• Format: Article
• Language: zho
• Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2018-03-01
• Series: Chinese Journal of Lung Cancer
• Subjects: Multiple primary lung cancer; Thoracoscope; Surgery; Thin layer distinguish CT
• Online Access: http://dx.doi.org/10.3779/j.issn.1009-3419.2018.03.11
• ISSN: 1009-3419; 1999-6187

Background and objective Simultaneity multiple primary lung cancer always is a rare disease, but in recent years due to the progress of the diagnosis and treatment means detection rate increased. This study summarized the clinical data of 31 cases of synchronous multiple primary lung cancer (sMPLC) analysis, further to explore the diagnosis, treatment and prognosis of MPLC. Methods Sum up the clinical data of 31 cases of simultaneous multiple primary lung cancer, the diagnostic method, surgical methods, pathology, were retrospectively analyzed. Results All the patients are thoracoscope surgery, no deaths. Thin high resolution computed tomography (CT) in preoperative found multiple lung nodules. Lesions located in the same side of the same period surgical treatment, the operation method is given priority to with under the thoracoscope lung + the lobectomy; Lesions located in bilateral, all staged operation, the time interval for 3 months-4 months. Conclusion Thin layer distinguish CT preoperative diagnosis is the best way to simultaneous multiple primary lung cancer. Multiple primary lung cancer incidence of ipsilateral lung at the same time higher than that of bilateral lung (23:8), type, around 94%, the most common histology to adenocarcinoma, 80.6% (25/31). Primary lesions under thoracoscope lobectomy plus the lobectomy of secondary lesions is the most commonly used.