152肿瘤科-肺癌-新 - 副本(1).pptVIP免费

DepartmentofThoracicSurgeryThe2ndAffiliatedHospitalofHarbinMedicalUniversity张临友E-mail:lyzhang@hotmail.comTel:0451-86605499CellPhone:15145106696微信公众平台微信公众平台医大二院胸外科LOGO肺癌LUNGCANCER肺癌LUNGCANCER肺癌术中标本肺癌术中标本EpidemiologyEpidemiologyLungCancer:DefinedLungCancer:Defined肺癌(lungcancer)大多数起源于支气管粘膜上皮，因此也称支气管肺癌(bronchopulmonarycarcinoma)据统计，在欧美某些国家和我国大城市中，肺癌的发病率已居男性各种肿瘤的首位。肺癌病人多数是男性，男女之比约3-5:1，但近年来，女性肺癌的发病率也明显增加。发病年龄大多在40岁以上。CancerStatistics,2015RebeccaSiegel,MPH1;DeepaNaishadham,MA,MS2;AhmedinJemal,DVM,PhD3新发病例-2015新发病例-2015预计死亡病例-2015预计死亡病例-2015CancerStatistics,2015RebeccaSiegel,MPH1;DeepaNaishadham,MA,MS2;AhmedinJemal,DVM,PhD3Anatomy&FunctionAnatomy&FunctionLungAnatomyLungAnatomy1.肺门2.斜裂3.肺动脉4.主支气管5.肺韧带6.肺尖7.肺静脉8.淋巴结9.右上支气管肺段肺段尖后段前段上舌段下舌段背段前内基底段后基底段外基底段尖段后段前段右肺上叶、中叶右肺上叶、中叶内侧段外侧段背段内基底段前基底段外基底段后基底段右肺下叶右肺下叶LungFunctionLungFunctionRiskFactorsForLungCancerRiskFactorsForLungCancerRiskFactorsRiskFactors1、吸烟，二手烟2、职业和环境接触致癌物质：石棉、铬、镍、铜、锡、砷、放射性物质等致癌物质3、人体内在因素：免疫状态、代谢、遗传因素、4、慢性疾病5、电离辐射6、遗传因素7、大气污染正常人的肺与烟民的肺CarcinogenCarcinogenExposuretoothersubstances:suchasasbestos,chromium,nickel,copper,tin,arsenicandradonforalongtime.AsbestosAsbestos·Inhalationexposureisthemostcommonoccupationalcause,accountingfor5%ofalllungcancersAirPollutionAirPollution·Passivetobaccosmokeisthemostwidelyacceptedsubstanceforincreasingriskoflungcancer·Othercompoundsincludeexhaust,arsenic,anddioxinTypesofLungCancerTypesofLungCancer肺癌肺癌小细胞肺癌SCLC非小细胞肺癌NSCLCPathologyTypesPathologyTypesWHO肺癌病理组织学分类鳞状细胞癌肉瘤样癌小细胞癌类癌腺癌唾液腺型癌大细胞癌未分类癌腺鳞癌※需要掌握内容※TheKeyFeatur...