原发性肺癌-ppt课件.ppt

1、原发性肺癌*Incidence per 100,000 population.Male54.8Female8.1Male75.9Female10.3Male39.3Female11.2Male47.6Female16.1Male41.7Female17.4Male12.9Female2.6Male29.1Female 7.7Male69.6Female32.9Male19.3Female7.9Male55.1Female7.6Parkin DM,et al.CA Cancer J Clin.1999;49:33-64.Parkin DM,et al.CA Cancer J Clin.1999;

2、49:33-64.7%12%21%13%10%8%10%20%14%细支气管肺泡癌：双肺可见弥漫性大小不等片状影细支气管肺泡癌：双肺可见弥漫性大小不等片状影Stage 0 Stage IAStage IIBStage IVLymph nodesMain bronchusContralateral lymph nodeMetastasis to distant organsInvasion of chest wall Stage IIIBNSCLC淋巴结转移规律FirstSubsequentFrom upper lobeFrom middle lobeFrom lower lobeNSCLCNSCLC局部和远处转移情况局部和远处转移情况BrainDraining lymph nodesPericardiumLungPleuraLiverAdrenalsBone右肺上叶中央型肺癌右肺上叶中央型肺癌 右肺门块影边缘不规则呈毛刺状右肺门块影边缘不规则呈毛刺状周围型肺癌周围型肺癌:右肺下叶背段右肺下叶背段 球形肿块影球形肿块影 分叶状分叶状右胸腔大量积液右胸腔大量积液:右第二肋间以下右第二肋间以下 外高内低弧形阴影外高内低弧形阴影 淋巴结转移淋巴结转移（N N）远处转移远处转移（M M）