【摘要】 目的 探讨并了解青年人肺癌临床病理特点。 方法 对1996年1月～2004年5月我院收治的资料较完整的147例40岁以下的原发性肺癌患者进行回顾性分析。 结果 青年人肺癌男女比例为1.7∶1，误诊率高达73.5%，病理类型以腺癌最多(46.3%)，其次为鳞癌(36.7%)及小细胞肺癌(4.8%)，TNM分期以Ⅲ、Ⅳ期居多占72.1%，手术切除率低。 结论 青年人肺癌误诊率高，病理类型以腺癌最多，女性发病率相对较高，确诊时多为晚期，预后差。重视青年患者的肺部表现，及时行相应检查，有助于肺癌的早期诊断及治疗。

    关键词 青年人 肺癌 病理 临床分析

    【Abstract】 Objective To evaluate the clinical and pathological characteristics of young lung cancer patients.Methods 147young lung cancer patients(40years old or younger)who with detail materials were studied retrospec-tively.Results The occurrence ratio of male to female was1.7:1.Adenocarcinoma was accounted for46.3%and was the main histological type of lung cancer in youth.The secondary was squamous carcinoma(36.7%)and small cell lung cancer(4.8%).Advanced disease(stage)was more common(about72.1%)in young patients.The rate of ac-ceptable surgical resection was low.Conclusion Lung cancer in youth tends to be misdiagnosed.In these patients ......