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肺癌 - 维基百科,自由的百科全书

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href="https://donate.wikimedia.org/?utm_source=donate&amp;utm_medium=sidebar&amp;utm_campaign=spontaneous&amp;uselang=zh-hans"><span>资助维基百科</span></a></li><li id="pt-createaccount" class="user-links-collapsible-item mw-list-item"><a href="/w/index.php?title=Special:%E5%88%9B%E5%BB%BA%E8%B4%A6%E6%88%B7&amp;returnto=%E8%82%BA%E7%99%8C" title="我们推荐您创建账号并登录,但这不是强制性的"><span class="vector-icon mw-ui-icon-userAdd mw-ui-icon-wikimedia-userAdd"></span> <span>创建账号</span></a></li><li id="pt-login" class="user-links-collapsible-item mw-list-item"><a href="/w/index.php?title=Special:%E7%94%A8%E6%88%B7%E7%99%BB%E5%BD%95&amp;returnto=%E8%82%BA%E7%99%8C" title="建议你登录,尽管并非必须。[o]" accesskey="o"><span class="vector-icon mw-ui-icon-logIn mw-ui-icon-wikimedia-logIn"></span> <span>登录</span></a></li> </ul> </div> </div> <div id="p-user-menu-anon-editor" class="vector-menu mw-portlet mw-portlet-user-menu-anon-editor" > <div class="vector-menu-heading"> 未登录编辑者的页面 <a href="/wiki/Help:%E6%96%B0%E6%89%8B%E5%85%A5%E9%97%A8" aria-label="了解有关编辑的更多信息"><span>了解详情</span></a> </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="pt-anoncontribs" class="mw-list-item"><a href="/wiki/Special:%E6%88%91%E7%9A%84%E8%B4%A1%E7%8C%AE" title="来自此IP地址的编辑列表[y]" accesskey="y"><span>贡献</span></a></li><li id="pt-anontalk" class="mw-list-item"><a href="/wiki/Special:%E6%88%91%E7%9A%84%E8%AE%A8%E8%AE%BA%E9%A1%B5" title="对于来自此IP地址编辑的讨论[n]" accesskey="n"><span>讨论</span></a></li> </ul> </div> </div> </div> </div> </nav> </div> </header> </div> <div class="mw-page-container"> <div class="mw-page-container-inner"> <div class="vector-sitenotice-container"> <div id="siteNotice"><!-- CentralNotice --></div> </div> <div class="vector-column-start"> <div class="vector-main-menu-container"> <div id="mw-navigation"> <nav id="mw-panel" class="vector-main-menu-landmark" aria-label="站点"> <div id="vector-main-menu-pinned-container" class="vector-pinned-container"> </div> </nav> </div> </div> <div class="vector-sticky-pinned-container"> <nav id="mw-panel-toc" aria-label="目录" data-event-name="ui.sidebar-toc" class="mw-table-of-contents-container vector-toc-landmark"> <div id="vector-toc-pinned-container" class="vector-pinned-container"> <div id="vector-toc" class="vector-toc vector-pinnable-element"> <div class="vector-pinnable-header vector-toc-pinnable-header vector-pinnable-header-pinned" data-feature-name="toc-pinned" data-pinnable-element-id="vector-toc" > <h2 class="vector-pinnable-header-label">目录</h2> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-toc.pin">移至侧栏</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-toc.unpin">隐藏</button> </div> <ul class="vector-toc-contents" id="mw-panel-toc-list"> <li id="toc-mw-content-text" class="vector-toc-list-item vector-toc-level-1"> <a href="#" class="vector-toc-link"> <div class="vector-toc-text">序言</div> </a> </li> <li id="toc-臨床表現" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#臨床表現"> <div class="vector-toc-text"> <span class="vector-toc-numb">1</span> <span>臨床表現</span> </div> </a> <ul id="toc-臨床表現-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-病因" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#病因"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>病因</span> </div> </a> <button aria-controls="toc-病因-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>开关病因子章节</span> </button> <ul id="toc-病因-sublist" class="vector-toc-list"> <li id="toc-吸菸" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#吸菸"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>吸菸</span> </div> </a> <ul id="toc-吸菸-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-氡氣" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#氡氣"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2</span> <span>氡氣</span> </div> </a> <ul id="toc-氡氣-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-石棉" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#石棉"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.3</span> <span>石棉</span> </div> </a> <ul id="toc-石棉-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-空氣汙染物" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#空氣汙染物"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.4</span> <span>空氣汙染物</span> </div> </a> <ul id="toc-空氣汙染物-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-遺傳因素" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#遺傳因素"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.5</span> <span>遺傳因素</span> </div> </a> <ul id="toc-遺傳因素-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-其他原因" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#其他原因"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.6</span> <span>其他原因</span> </div> </a> <ul id="toc-其他原因-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-致病機轉" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#致病機轉"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>致病機轉</span> </div> </a> <ul id="toc-致病機轉-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-诊断" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#诊断"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>诊断</span> </div> </a> <button aria-controls="toc-诊断-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>开关诊断子章节</span> </button> <ul id="toc-诊断-sublist" class="vector-toc-list"> <li id="toc-分类" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#分类"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1</span> <span>分类</span> </div> </a> <ul id="toc-分类-sublist" class="vector-toc-list"> <li id="toc-非小細胞癌" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#非小細胞癌"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1.1</span> <span>非小細胞癌</span> </div> </a> <ul id="toc-非小細胞癌-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-小细胞肺癌" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#小细胞肺癌"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1.2</span> <span>小细胞肺癌</span> </div> </a> <ul id="toc-小细胞肺癌-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-其他" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#其他"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1.3</span> <span>其他</span> </div> </a> <ul id="toc-其他-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-转移" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#转移"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.2</span> <span>转移</span> </div> </a> <ul id="toc-转移-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-分期" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#分期"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.3</span> <span>分期</span> </div> </a> <ul id="toc-分期-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-预防" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#预防"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>预防</span> </div> </a> <button aria-controls="toc-预防-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>开关预防子章节</span> </button> <ul id="toc-预防-sublist" class="vector-toc-list"> <li id="toc-禁菸" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#禁菸"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>禁菸</span> </div> </a> <ul id="toc-禁菸-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-筛檢" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#筛檢"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2</span> <span>筛檢</span> </div> </a> <ul id="toc-筛檢-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-其他预防措施" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#其他预防措施"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.3</span> <span>其他预防措施</span> </div> </a> <ul id="toc-其他预防措施-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-治療" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#治療"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>治療</span> </div> </a> <button aria-controls="toc-治療-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>开关治療子章节</span> </button> <ul id="toc-治療-sublist" class="vector-toc-list"> <li id="toc-手术" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#手术"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>手术</span> </div> </a> <ul id="toc-手术-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-放疗" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#放疗"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2</span> <span>放疗</span> </div> </a> <ul id="toc-放疗-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-化疗" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#化疗"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.3</span> <span>化疗</span> </div> </a> <ul id="toc-化疗-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-標靶治療" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#標靶治療"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.4</span> <span>標靶治療</span> </div> </a> <ul id="toc-標靶治療-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-支氣管鏡" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#支氣管鏡"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.5</span> <span>支氣管鏡</span> </div> </a> <ul id="toc-支氣管鏡-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-和缓医疗" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#和缓医疗"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.6</span> <span>和缓医疗</span> </div> </a> <ul id="toc-和缓医疗-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-预后" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#预后"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>预后</span> </div> </a> <ul id="toc-预后-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-流行病学" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#流行病学"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>流行病学</span> </div> </a> <ul id="toc-流行病学-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-历史" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#历史"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>历史</span> </div> </a> <ul id="toc-历史-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-研究方向" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#研究方向"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>研究方向</span> </div> </a> <ul id="toc-研究方向-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-參考文獻" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#參考文獻"> <div class="vector-toc-text"> <span class="vector-toc-numb">11</span> <span>參考文獻</span> </div> </a> <ul id="toc-參考文獻-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-外部連結" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#外部連結"> <div class="vector-toc-text"> <span class="vector-toc-numb">12</span> <span>外部連結</span> </div> </a> <ul id="toc-外部連結-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="目录" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="开关目录" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">开关目录</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">肺癌</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="前往另一种语言写成的文章。93种语言可用" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-93" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">93种语言</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%B3%D8%B1%D8%B7%D8%A7%D9%86_%D8%A7%D9%84%D8%B1%D8%A6%D8%A9" title="سرطان الرئة – 阿拉伯语" lang="ar" hreflang="ar" data-title="سرطان الرئة" data-language-autonym="العربية" data-language-local-name="阿拉伯语" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-arz mw-list-item"><a href="https://arz.wikipedia.org/wiki/%D8%B3%D8%B1%D8%B7%D8%A7%D9%86_%D8%A7%D9%84%D8%B1%D8%A6%D9%87" title="سرطان الرئه – 埃及阿拉伯文" lang="arz" hreflang="arz" data-title="سرطان الرئه" data-language-autonym="مصرى" data-language-local-name="埃及阿拉伯文" class="interlanguage-link-target"><span>مصرى</span></a></li><li class="interlanguage-link interwiki-ast mw-list-item"><a href="https://ast.wikipedia.org/wiki/C%C3%A1ncanu_de_pulm%C3%B3n" title="Cáncanu de pulmón – 阿斯图里亚斯语" lang="ast" hreflang="ast" data-title="Cáncanu de pulmón" data-language-autonym="Asturianu" data-language-local-name="阿斯图里亚斯语" class="interlanguage-link-target"><span>Asturianu</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/A%C4%9Fciy%C9%99r_x%C9%99r%C3%A7%C9%99ngi" title="Ağciyər xərçəngi – 阿塞拜疆语" lang="az" hreflang="az" data-title="Ağciyər xərçəngi" data-language-autonym="Azərbaycanca" data-language-local-name="阿塞拜疆语" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-azb mw-list-item"><a href="https://azb.wikipedia.org/wiki/%D8%A2%D8%BA%E2%80%8C%D8%AC%DB%8C%DB%8C%D8%B1_%D8%B3%D8%B1%D8%B7%D8%A7%D9%86%DB%8C" title="آغ‌جییر سرطانی – South Azerbaijani" lang="azb" hreflang="azb" data-title="آغ‌جییر سرطانی" data-language-autonym="تۆرکجه" data-language-local-name="South Azerbaijani" class="interlanguage-link-target"><span>تۆرکجه</span></a></li><li class="interlanguage-link interwiki-be mw-list-item"><a href="https://be.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BB%D1%91%D0%B3%D0%BA%D0%B0%D0%B3%D0%B0" title="Рак лёгкага – 白俄罗斯语" lang="be" hreflang="be" data-title="Рак лёгкага" data-language-autonym="Беларуская" data-language-local-name="白俄罗斯语" class="interlanguage-link-target"><span>Беларуская</span></a></li><li class="interlanguage-link interwiki-be-x-old mw-list-item"><a href="https://be-tarask.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BB%D1%91%D0%B3%D0%BA%D1%96%D1%85" title="Рак лёгкіх – Belarusian (Taraškievica orthography)" lang="be-tarask" hreflang="be-tarask" data-title="Рак лёгкіх" data-language-autonym="Беларуская (тарашкевіца)" data-language-local-name="Belarusian (Taraškievica orthography)" class="interlanguage-link-target"><span>Беларуская (тарашкевіца)</span></a></li><li class="interlanguage-link interwiki-bg mw-list-item"><a href="https://bg.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BD%D0%B0_%D0%B1%D0%B5%D0%BB%D0%B8%D1%8F_%D0%B4%D1%80%D0%BE%D0%B1" title="Рак на белия дроб – 保加利亚语" lang="bg" hreflang="bg" data-title="Рак на белия дроб" data-language-autonym="Български" data-language-local-name="保加利亚语" class="interlanguage-link-target"><span>Български</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%AB%E0%A7%81%E0%A6%B8%E0%A6%AB%E0%A7%81%E0%A6%B8%E0%A7%87%E0%A6%B0_%E0%A6%95%E0%A7%8D%E0%A6%AF%E0%A6%BE%E0%A6%A8%E0%A7%8D%E0%A6%B8%E0%A6%BE%E0%A6%B0" title="ফুসফুসের ক্যান্সার – 孟加拉语" lang="bn" hreflang="bn" data-title="ফুসফুসের ক্যান্সার" data-language-autonym="বাংলা" data-language-local-name="孟加拉语" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Rak_plu%C4%87a" title="Rak pluća – 波斯尼亚语" lang="bs" hreflang="bs" data-title="Rak pluća" data-language-autonym="Bosanski" data-language-local-name="波斯尼亚语" class="interlanguage-link-target"><span>Bosanski</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/C%C3%A0ncer_de_pulm%C3%B3" title="Càncer de pulmó – 加泰罗尼亚语" lang="ca" hreflang="ca" data-title="Càncer de pulmó" data-language-autonym="Català" data-language-local-name="加泰罗尼亚语" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-ckb mw-list-item"><a href="https://ckb.wikipedia.org/wiki/%D8%B4%DB%8E%D8%B1%D9%BE%DB%95%D9%86%D8%AC%DB%95%DB%8C_%D8%B3%DB%8C%DB%8C%DB%95%DA%A9%D8%A7%D9%86" title="شێرپەنجەی سییەکان – 中库尔德语" lang="ckb" hreflang="ckb" data-title="شێرپەنجەی سییەکان" data-language-autonym="کوردی" data-language-local-name="中库尔德语" class="interlanguage-link-target"><span>کوردی</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Karcinom_plic" title="Karcinom plic – 捷克语" lang="cs" hreflang="cs" data-title="Karcinom plic" data-language-autonym="Čeština" data-language-local-name="捷克语" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-cv mw-list-item"><a href="https://cv.wikipedia.org/wiki/%D3%B2%D0%BF%D0%BA%D0%B5_%D1%80%D0%B0%D0%BA%C4%95" title="Ӳпке ракĕ – 楚瓦什语" lang="cv" hreflang="cv" data-title="Ӳпке ракĕ" data-language-autonym="Чӑвашла" data-language-local-name="楚瓦什语" class="interlanguage-link-target"><span>Чӑвашла</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Canser_yr_ysgyfaint" title="Canser yr ysgyfaint – 威尔士语" lang="cy" hreflang="cy" data-title="Canser yr ysgyfaint" data-language-autonym="Cymraeg" data-language-local-name="威尔士语" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Lungekr%C3%A6ft" title="Lungekræft – 丹麦语" lang="da" hreflang="da" data-title="Lungekræft" data-language-autonym="Dansk" data-language-local-name="丹麦语" class="interlanguage-link-target"><span>Dansk</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Bronchialkarzinom" title="Bronchialkarzinom – 德语" lang="de" hreflang="de" data-title="Bronchialkarzinom" data-language-autonym="Deutsch" data-language-local-name="德语" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-dv mw-list-item"><a href="https://dv.wikipedia.org/wiki/%DE%8A%DE%AA%DE%87%DE%B0%DE%95%DE%A7%DE%89%DE%AD%DE%8E%DE%AC_%DE%86%DE%AC%DE%82%DE%B0%DE%90%DE%A6%DE%83%DE%AA" title="ފުއްޕާމޭގެ ކެންސަރު – 迪维希语" lang="dv" hreflang="dv" data-title="ފުއްޕާމޭގެ ކެންސަރު" data-language-autonym="ދިވެހިބަސް" data-language-local-name="迪维希语" class="interlanguage-link-target"><span>ދިވެހިބަސް</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%9A%CE%B1%CF%81%CE%BA%CE%AF%CE%BD%CE%BF%CF%82_%CF%84%CE%BF%CF%85_%CF%80%CE%BD%CE%B5%CF%8D%CE%BC%CE%BF%CE%BD%CE%B1" title="Καρκίνος του πνεύμονα – 希腊语" lang="el" hreflang="el" data-title="Καρκίνος του πνεύμονα" data-language-autonym="Ελληνικά" data-language-local-name="希腊语" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-en badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://en.wikipedia.org/wiki/Lung_cancer" title="Lung cancer – 英语" lang="en" hreflang="en" data-title="Lung cancer" data-language-autonym="English" data-language-local-name="英语" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Pulma_kancero" title="Pulma kancero – 世界语" lang="eo" hreflang="eo" data-title="Pulma kancero" data-language-autonym="Esperanto" data-language-local-name="世界语" class="interlanguage-link-target"><span>Esperanto</span></a></li><li class="interlanguage-link interwiki-es badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://es.wikipedia.org/wiki/C%C3%A1ncer_de_pulm%C3%B3n" title="Cáncer de pulmón – 西班牙语" lang="es" hreflang="es" data-title="Cáncer de pulmón" data-language-autonym="Español" data-language-local-name="西班牙语" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Kopsuv%C3%A4hk" title="Kopsuvähk – 爱沙尼亚语" lang="et" hreflang="et" data-title="Kopsuvähk" data-language-autonym="Eesti" data-language-local-name="爱沙尼亚语" class="interlanguage-link-target"><span>Eesti</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Birikako_minbizi" title="Birikako minbizi – 巴斯克语" lang="eu" hreflang="eu" data-title="Birikako minbizi" data-language-autonym="Euskara" data-language-local-name="巴斯克语" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%B3%D8%B1%D8%B7%D8%A7%D9%86_%D8%B1%DB%8C%D9%87" title="سرطان ریه – 波斯语" lang="fa" hreflang="fa" data-title="سرطان ریه" data-language-autonym="فارسی" data-language-local-name="波斯语" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Keuhkosy%C3%B6p%C3%A4" title="Keuhkosyöpä – 芬兰语" lang="fi" hreflang="fi" data-title="Keuhkosyöpä" data-language-autonym="Suomi" data-language-local-name="芬兰语" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Cancer_du_poumon" title="Cancer du poumon – 法语" lang="fr" hreflang="fr" data-title="Cancer du poumon" data-language-autonym="Français" data-language-local-name="法语" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Cancro_de_pulm%C3%B3n" title="Cancro de pulmón – 加利西亚语" lang="gl" hreflang="gl" data-title="Cancro de pulmón" data-language-autonym="Galego" data-language-local-name="加利西亚语" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-gn mw-list-item"><a href="https://gn.wikipedia.org/wiki/%C3%91e%27%C3%A3vev%C3%BAi_akyt%C3%A3%27ai" title="Ñe&#039;ãvevúi akytã&#039;ai – 瓜拉尼语" lang="gn" hreflang="gn" data-title="Ñe&#039;ãvevúi akytã&#039;ai" data-language-autonym="Avañe&#039;ẽ" data-language-local-name="瓜拉尼语" class="interlanguage-link-target"><span>Avañe'ẽ</span></a></li><li class="interlanguage-link interwiki-ha mw-list-item"><a href="https://ha.wikipedia.org/wiki/Ciwon_Huhun_Daji" title="Ciwon Huhun Daji – 豪萨语" lang="ha" hreflang="ha" data-title="Ciwon Huhun Daji" data-language-autonym="Hausa" data-language-local-name="豪萨语" class="interlanguage-link-target"><span>Hausa</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%A1%D7%A8%D7%98%D7%9F_%D7%94%D7%A8%D7%99%D7%90%D7%94" title="סרטן הריאה – 希伯来语" lang="he" hreflang="he" data-title="סרטן הריאה" data-language-autonym="עברית" data-language-local-name="希伯来语" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%AB%E0%A5%81%E0%A4%AB%E0%A5%8D%E0%A4%AB%E0%A5%81%E0%A4%B8_%E0%A4%95%E0%A5%88%E0%A4%A8%E0%A5%8D%E0%A4%B8%E0%A4%B0" title="फुफ्फुस कैन्सर – 印地语" lang="hi" hreflang="hi" data-title="फुफ्फुस कैन्सर" data-language-autonym="हिन्दी" data-language-local-name="印地语" class="interlanguage-link-target"><span>हिन्दी</span></a></li><li class="interlanguage-link interwiki-hr badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://hr.wikipedia.org/wiki/Rak_plu%C4%87a" title="Rak pluća – 克罗地亚语" lang="hr" hreflang="hr" data-title="Rak pluća" data-language-autonym="Hrvatski" data-language-local-name="克罗地亚语" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/T%C3%BCd%C5%91r%C3%A1k" title="Tüdőrák – 匈牙利语" lang="hu" hreflang="hu" data-title="Tüdőrák" data-language-autonym="Magyar" data-language-local-name="匈牙利语" class="interlanguage-link-target"><span>Magyar</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D4%B9%D5%B8%D6%84%D5%AB_%D6%84%D5%A1%D5%B2%D6%81%D5%AF%D5%A5%D5%B2" title="Թոքի քաղցկեղ – 亚美尼亚语" lang="hy" hreflang="hy" data-title="Թոքի քաղցկեղ" data-language-autonym="Հայերեն" data-language-local-name="亚美尼亚语" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Kanker_paru-paru" title="Kanker paru-paru – 印度尼西亚语" lang="id" hreflang="id" data-title="Kanker paru-paru" data-language-autonym="Bahasa Indonesia" data-language-local-name="印度尼西亚语" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-is mw-list-item"><a href="https://is.wikipedia.org/wiki/Lungnakrabbamein" title="Lungnakrabbamein – 冰岛语" lang="is" hreflang="is" data-title="Lungnakrabbamein" data-language-autonym="Íslenska" data-language-local-name="冰岛语" class="interlanguage-link-target"><span>Íslenska</span></a></li><li class="interlanguage-link interwiki-it badge-Q17437798 badge-goodarticle mw-list-item" title="优良条目"><a href="https://it.wikipedia.org/wiki/Carcinoma_del_polmone" title="Carcinoma del polmone – 意大利语" lang="it" hreflang="it" data-title="Carcinoma del polmone" data-language-autonym="Italiano" data-language-local-name="意大利语" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E8%82%BA%E7%99%8C" title="肺癌 – 日语" lang="ja" hreflang="ja" data-title="肺癌" data-language-autonym="日本語" data-language-local-name="日语" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-jv mw-list-item"><a href="https://jv.wikipedia.org/wiki/Kangker_paru" title="Kangker paru – 爪哇语" lang="jv" hreflang="jv" data-title="Kangker paru" data-language-autonym="Jawa" data-language-local-name="爪哇语" class="interlanguage-link-target"><span>Jawa</span></a></li><li class="interlanguage-link interwiki-kk mw-list-item"><a href="https://kk.wikipedia.org/wiki/%D3%A8%D0%BA%D0%BF%D0%B5_%D0%BE%D0%B1%D1%8B%D1%80%D1%8B" title="Өкпе обыры – 哈萨克语" lang="kk" hreflang="kk" data-title="Өкпе обыры" data-language-autonym="Қазақша" data-language-local-name="哈萨克语" class="interlanguage-link-target"><span>Қазақша</span></a></li><li class="interlanguage-link interwiki-kn mw-list-item"><a href="https://kn.wikipedia.org/wiki/%E0%B2%B6%E0%B3%8D%E0%B2%B5%E0%B2%BE%E0%B2%B8%E0%B2%95%E0%B3%8B%E0%B2%B6%E0%B2%A6_%E0%B2%95%E0%B3%8D%E0%B2%AF%E0%B2%BE%E0%B2%A8%E0%B3%8D%E0%B2%B8%E0%B2%B0%E0%B3%8D" title="ಶ್ವಾಸಕೋಶದ ಕ್ಯಾನ್ಸರ್ – 卡纳达语" lang="kn" hreflang="kn" data-title="ಶ್ವಾಸಕೋಶದ ಕ್ಯಾನ್ಸರ್" data-language-autonym="ಕನ್ನಡ" data-language-local-name="卡纳达语" class="interlanguage-link-target"><span>ಕನ್ನಡ</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%ED%8F%90%EC%95%94" title="폐암 – 韩语" lang="ko" hreflang="ko" data-title="폐암" data-language-autonym="한국어" data-language-local-name="韩语" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-la mw-list-item"><a href="https://la.wikipedia.org/wiki/Cancer_pulmonis" title="Cancer pulmonis – 拉丁语" lang="la" hreflang="la" data-title="Cancer pulmonis" data-language-autonym="Latina" data-language-local-name="拉丁语" class="interlanguage-link-target"><span>Latina</span></a></li><li class="interlanguage-link interwiki-lo mw-list-item"><a href="https://lo.wikipedia.org/wiki/%E0%BA%A1%E0%BA%B0%E0%BB%80%E0%BA%AE%E0%BA%B1%E0%BA%87%E0%BA%9B%E0%BA%AD%E0%BA%94" title="ມະເຮັງປອດ – 老挝语" lang="lo" hreflang="lo" data-title="ມະເຮັງປອດ" data-language-autonym="ລາວ" data-language-local-name="老挝语" class="interlanguage-link-target"><span>ລາວ</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Plau%C4%8Di%C5%B3_v%C4%97%C5%BEys" title="Plaučių vėžys – 立陶宛语" lang="lt" hreflang="lt" data-title="Plaučių vėžys" data-language-autonym="Lietuvių" data-language-local-name="立陶宛语" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-lv mw-list-item"><a href="https://lv.wikipedia.org/wiki/Plau%C5%A1u_v%C4%93zis" title="Plaušu vēzis – 拉脱维亚语" lang="lv" hreflang="lv" data-title="Plaušu vēzis" data-language-autonym="Latviešu" data-language-local-name="拉脱维亚语" class="interlanguage-link-target"><span>Latviešu</span></a></li><li class="interlanguage-link interwiki-mk badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://mk.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BD%D0%B0_%D0%B1%D0%B5%D0%BB%D0%B8%D1%82%D0%B5_%D0%B4%D1%80%D0%BE%D0%B1%D0%BE%D0%B2%D0%B8" title="Рак на белите дробови – 马其顿语" lang="mk" hreflang="mk" data-title="Рак на белите дробови" data-language-autonym="Македонски" data-language-local-name="马其顿语" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%B6%E0%B5%8D%E0%B4%B5%E0%B4%BE%E0%B4%B8%E0%B4%95%E0%B5%8B%E0%B4%B6%E0%B4%BE%E0%B5%BC%E0%B4%AC%E0%B5%81%E0%B4%A6%E0%B4%82" title="ശ്വാസകോശാർബുദം – 马拉雅拉姆语" lang="ml" hreflang="ml" data-title="ശ്വാസകോശാർബുദം" data-language-autonym="മലയാളം" data-language-local-name="马拉雅拉姆语" class="interlanguage-link-target"><span>മലയാളം</span></a></li><li class="interlanguage-link interwiki-mr mw-list-item"><a href="https://mr.wikipedia.org/wiki/%E0%A4%AB%E0%A5%81%E0%A4%AB%E0%A5%8D%E2%80%8D%E0%A4%AB%E0%A5%81%E0%A4%B8%E0%A4%BE%E0%A4%9A%E0%A4%BE_%E0%A4%95%E0%A4%B0%E0%A5%8D%E0%A4%95%E0%A4%B0%E0%A5%8B%E0%A4%97" title="फुफ्‍फुसाचा कर्करोग – 马拉地语" lang="mr" hreflang="mr" data-title="फुफ्‍फुसाचा कर्करोग" data-language-autonym="मराठी" data-language-local-name="马拉地语" class="interlanguage-link-target"><span>मराठी</span></a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Barah_peparu" title="Barah peparu – 马来语" lang="ms" hreflang="ms" data-title="Barah peparu" data-language-autonym="Bahasa Melayu" data-language-local-name="马来语" class="interlanguage-link-target"><span>Bahasa Melayu</span></a></li><li class="interlanguage-link interwiki-ne mw-list-item"><a href="https://ne.wikipedia.org/wiki/%E0%A4%AB%E0%A5%8B%E0%A4%95%E0%A5%8D%E0%A4%B8%E0%A5%8B_%E0%A4%95%E0%A5%8D%E0%A4%AF%E0%A4%BE%E0%A4%A8%E0%A5%8D%E0%A4%B8%E0%A4%B0" title="फोक्सो क्यान्सर – 尼泊尔语" lang="ne" hreflang="ne" data-title="फोक्सो क्यान्सर" data-language-autonym="नेपाली" data-language-local-name="尼泊尔语" class="interlanguage-link-target"><span>नेपाली</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Longkanker" title="Longkanker – 荷兰语" lang="nl" hreflang="nl" data-title="Longkanker" data-language-autonym="Nederlands" data-language-local-name="荷兰语" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-nn mw-list-item"><a href="https://nn.wikipedia.org/wiki/Lungekreft" title="Lungekreft – 挪威尼诺斯克语" lang="nn" hreflang="nn" data-title="Lungekreft" data-language-autonym="Norsk nynorsk" data-language-local-name="挪威尼诺斯克语" class="interlanguage-link-target"><span>Norsk nynorsk</span></a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Lungekreft" title="Lungekreft – 书面挪威语" lang="nb" hreflang="nb" data-title="Lungekreft" data-language-autonym="Norsk bokmål" data-language-local-name="书面挪威语" class="interlanguage-link-target"><span>Norsk bokmål</span></a></li><li class="interlanguage-link interwiki-nv mw-list-item"><a href="https://nv.wikipedia.org/wiki/Ats%CA%BCiis_naa%C5%82dzid" title="Atsʼiis naałdzid – 纳瓦霍语" lang="nv" hreflang="nv" data-title="Atsʼiis naałdzid" data-language-autonym="Diné bizaad" data-language-local-name="纳瓦霍语" class="interlanguage-link-target"><span>Diné bizaad</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%AB%E0%AD%81%E0%AC%B8%E0%AC%AB%E0%AD%81%E0%AC%B8_%E0%AC%95%E0%AC%B0%E0%AD%8D%E0%AC%95%E0%AC%9F" title="ଫୁସଫୁସ କର୍କଟ – 奥里亚语" lang="or" hreflang="or" data-title="ଫୁସଫୁସ କର୍କଟ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="奥里亚语" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-pa mw-list-item"><a href="https://pa.wikipedia.org/wiki/%E0%A8%AB%E0%A9%87%E0%A8%AB%E0%A9%9C%E0%A9%87_%E0%A8%A6%E0%A8%BE_%E0%A8%95%E0%A9%88%E0%A8%82%E0%A8%B8%E0%A8%B0" title="ਫੇਫੜੇ ਦਾ ਕੈਂਸਰ – 旁遮普语" lang="pa" hreflang="pa" data-title="ਫੇਫੜੇ ਦਾ ਕੈਂਸਰ" data-language-autonym="ਪੰਜਾਬੀ" data-language-local-name="旁遮普语" class="interlanguage-link-target"><span>ਪੰਜਾਬੀ</span></a></li><li class="interlanguage-link interwiki-pl badge-Q17437798 badge-goodarticle mw-list-item" title="优良条目"><a href="https://pl.wikipedia.org/wiki/Rak_p%C5%82uca" title="Rak płuca – 波兰语" lang="pl" hreflang="pl" data-title="Rak płuca" data-language-autonym="Polski" data-language-local-name="波兰语" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-ps mw-list-item"><a href="https://ps.wikipedia.org/wiki/%D8%AF_%D8%B3%DA%96%D9%88_%D8%B3%D8%B1%D8%B7%D8%A7%D9%86" title="د سږو سرطان – 普什图语" lang="ps" hreflang="ps" data-title="د سږو سرطان" data-language-autonym="پښتو" data-language-local-name="普什图语" class="interlanguage-link-target"><span>پښتو</span></a></li><li class="interlanguage-link interwiki-pt badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://pt.wikipedia.org/wiki/C%C3%A2ncer_de_pulm%C3%A3o" title="Câncer de pulmão – 葡萄牙语" lang="pt" hreflang="pt" data-title="Câncer de pulmão" data-language-autonym="Português" data-language-local-name="葡萄牙语" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-qu mw-list-item"><a href="https://qu.wikipedia.org/wiki/Surq%27an_phiru_unquy" title="Surq&#039;an phiru unquy – 克丘亚语" lang="qu" hreflang="qu" data-title="Surq&#039;an phiru unquy" data-language-autonym="Runa Simi" data-language-local-name="克丘亚语" class="interlanguage-link-target"><span>Runa Simi</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Cancer_pulmonar" title="Cancer pulmonar – 罗马尼亚语" lang="ro" hreflang="ro" data-title="Cancer pulmonar" data-language-autonym="Română" data-language-local-name="罗马尼亚语" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BB%D1%91%D0%B3%D0%BA%D0%BE%D0%B3%D0%BE" title="Рак лёгкого – 俄语" lang="ru" hreflang="ru" data-title="Рак лёгкого" data-language-autonym="Русский" data-language-local-name="俄语" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-rw mw-list-item"><a href="https://rw.wikipedia.org/wiki/Kanseri_yo_mu_bihaha" title="Kanseri yo mu bihaha – 卢旺达语" lang="rw" hreflang="rw" data-title="Kanseri yo mu bihaha" data-language-autonym="Ikinyarwanda" data-language-local-name="卢旺达语" class="interlanguage-link-target"><span>Ikinyarwanda</span></a></li><li class="interlanguage-link interwiki-se mw-list-item"><a href="https://se.wikipedia.org/wiki/Geahpesboras" title="Geahpesboras – 北方萨米语" lang="se" hreflang="se" data-title="Geahpesboras" data-language-autonym="Davvisámegiella" data-language-local-name="北方萨米语" class="interlanguage-link-target"><span>Davvisámegiella</span></a></li><li class="interlanguage-link interwiki-sh badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://sh.wikipedia.org/wiki/Rak_plu%C4%87a" title="Rak pluća – 塞尔维亚-克罗地亚语" lang="sh" hreflang="sh" data-title="Rak pluća" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="塞尔维亚-克罗地亚语" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-si mw-list-item"><a href="https://si.wikipedia.org/wiki/%E0%B6%B4%E0%B7%99%E0%B6%B1%E0%B7%84%E0%B7%85%E0%B7%94_%E0%B6%B4%E0%B7%92%E0%B7%85%E0%B7%92%E0%B6%9A%E0%B7%8F" title="පෙනහළු පිළිකා – 僧伽罗语" lang="si" hreflang="si" data-title="පෙනහළු පිළිකා" data-language-autonym="සිංහල" data-language-local-name="僧伽罗语" class="interlanguage-link-target"><span>සිංහල</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Lung_cancer" title="Lung cancer – Simple English" lang="en-simple" hreflang="en-simple" data-title="Lung cancer" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sk mw-list-item"><a href="https://sk.wikipedia.org/wiki/Karcin%C3%B3m_p%C4%BE%C3%BAc" title="Karcinóm pľúc – 斯洛伐克语" lang="sk" hreflang="sk" data-title="Karcinóm pľúc" data-language-autonym="Slovenčina" data-language-local-name="斯洛伐克语" class="interlanguage-link-target"><span>Slovenčina</span></a></li><li class="interlanguage-link interwiki-sl badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://sl.wikipedia.org/wiki/Plju%C4%8Dni_rak" title="Pljučni rak – 斯洛文尼亚语" lang="sl" hreflang="sl" data-title="Pljučni rak" data-language-autonym="Slovenščina" data-language-local-name="斯洛文尼亚语" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sq mw-list-item"><a href="https://sq.wikipedia.org/wiki/Kanceri_n%C3%AB_mushk%C3%ABri" title="Kanceri në mushkëri – 阿尔巴尼亚语" lang="sq" hreflang="sq" data-title="Kanceri në mushkëri" data-language-autonym="Shqip" data-language-local-name="阿尔巴尼亚语" class="interlanguage-link-target"><span>Shqip</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Rak_plu%C4%87a" title="Rak pluća – 塞尔维亚语" lang="sr" hreflang="sr" data-title="Rak pluća" data-language-autonym="Српски / srpski" data-language-local-name="塞尔维亚语" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-su mw-list-item"><a href="https://su.wikipedia.org/wiki/Kangker_bayah" title="Kangker bayah – 巽他语" lang="su" hreflang="su" data-title="Kangker bayah" data-language-autonym="Sunda" data-language-local-name="巽他语" class="interlanguage-link-target"><span>Sunda</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Lungcancer" title="Lungcancer – 瑞典语" lang="sv" hreflang="sv" data-title="Lungcancer" data-language-autonym="Svenska" data-language-local-name="瑞典语" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-sw mw-list-item"><a href="https://sw.wikipedia.org/wiki/Saratani_ya_mapafu" title="Saratani ya mapafu – 斯瓦希里语" lang="sw" hreflang="sw" data-title="Saratani ya mapafu" data-language-autonym="Kiswahili" data-language-local-name="斯瓦希里语" class="interlanguage-link-target"><span>Kiswahili</span></a></li><li class="interlanguage-link interwiki-ta mw-list-item"><a href="https://ta.wikipedia.org/wiki/%E0%AE%A8%E0%AF%81%E0%AE%B0%E0%AF%88%E0%AE%AF%E0%AF%80%E0%AE%B0%E0%AE%B2%E0%AF%8D_%E0%AE%AA%E0%AF%81%E0%AE%B1%E0%AF%8D%E0%AE%B1%E0%AF%81%E0%AE%A8%E0%AF%8B%E0%AE%AF%E0%AF%8D" title="நுரையீரல் புற்றுநோய் – 泰米尔语" lang="ta" hreflang="ta" data-title="நுரையீரல் புற்றுநோய்" data-language-autonym="தமிழ்" data-language-local-name="泰米尔语" class="interlanguage-link-target"><span>தமிழ்</span></a></li><li class="interlanguage-link interwiki-tcy mw-list-item"><a href="https://tcy.wikipedia.org/wiki/%E0%B2%B6%E0%B3%8D%E0%B2%B5%E0%B2%BE%E0%B2%B8%E0%B2%95%E0%B3%8B%E0%B2%B8%E0%B2%A6_%E0%B2%95%E0%B3%8D%E0%B2%AF%E0%B2%BE%E0%B2%A8%E0%B3%8D%E0%B2%B8%E0%B2%B0%E0%B3%8D" title="ಶ್ವಾಸಕೋಸದ ಕ್ಯಾನ್ಸರ್ – 圖盧文" lang="tcy" hreflang="tcy" data-title="ಶ್ವಾಸಕೋಸದ ಕ್ಯಾನ್ಸರ್" data-language-autonym="ತುಳು" data-language-local-name="圖盧文" class="interlanguage-link-target"><span>ತುಳು</span></a></li><li class="interlanguage-link interwiki-te mw-list-item"><a href="https://te.wikipedia.org/wiki/%E0%B0%8A%E0%B0%AA%E0%B0%BF%E0%B0%B0%E0%B0%BF%E0%B0%A4%E0%B0%BF%E0%B0%A4%E0%B1%8D%E0%B0%A4%E0%B1%81%E0%B0%B2_%E0%B0%95%E0%B0%BE%E0%B0%A8%E0%B1%8D%E0%B0%B8%E0%B0%B0%E0%B1%8D" title="ఊపిరితిత్తుల కాన్సర్ – 泰卢固语" lang="te" hreflang="te" data-title="ఊపిరితిత్తుల కాన్సర్" data-language-autonym="తెలుగు" data-language-local-name="泰卢固语" class="interlanguage-link-target"><span>తెలుగు</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B8%A1%E0%B8%B0%E0%B9%80%E0%B8%A3%E0%B9%87%E0%B8%87%E0%B8%9B%E0%B8%AD%E0%B8%94" title="มะเร็งปอด – 泰语" lang="th" hreflang="th" data-title="มะเร็งปอด" data-language-autonym="ไทย" data-language-local-name="泰语" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-tl mw-list-item"><a href="https://tl.wikipedia.org/wiki/Kanser_sa_baga" title="Kanser sa baga – 他加禄语" lang="tl" hreflang="tl" data-title="Kanser sa baga" data-language-autonym="Tagalog" data-language-local-name="他加禄语" class="interlanguage-link-target"><span>Tagalog</span></a></li><li class="interlanguage-link interwiki-tr badge-Q17437796 badge-featuredarticle mw-list-item" title="典范条目"><a href="https://tr.wikipedia.org/wiki/Akci%C4%9Fer_kanseri" title="Akciğer kanseri – 土耳其语" lang="tr" hreflang="tr" data-title="Akciğer kanseri" data-language-autonym="Türkçe" data-language-local-name="土耳其语" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-tt mw-list-item"><a href="https://tt.wikipedia.org/wiki/%D2%AE%D0%BF%D0%BA%D3%99_%D1%8F%D0%BC%D0%B0%D0%BD_%D1%88%D0%B5%D1%88%D0%B5" title="Үпкә яман шеше – 鞑靼语" lang="tt" hreflang="tt" data-title="Үпкә яман шеше" data-language-autonym="Татарча / tatarça" data-language-local-name="鞑靼语" class="interlanguage-link-target"><span>Татарча / tatarça</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BA_%D0%BB%D0%B5%D0%B3%D0%B5%D0%BD%D1%96" title="Рак легені – 乌克兰语" lang="uk" hreflang="uk" data-title="Рак легені" data-language-autonym="Українська" data-language-local-name="乌克兰语" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-ur mw-list-item"><a href="https://ur.wikipedia.org/wiki/%D9%BE%DA%BE%DB%8C%D9%BE%DA%BE%DA%91%D9%88%DA%BA_%DA%A9%D8%A7_%D8%B3%D8%B1%D8%B7%D8%A7%D9%86" title="پھیپھڑوں کا سرطان – 乌尔都语" lang="ur" hreflang="ur" data-title="پھیپھڑوں کا سرطان" data-language-autonym="اردو" data-language-local-name="乌尔都语" class="interlanguage-link-target"><span>اردو</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/O%CA%BBpka_saratoni" title="Oʻpka saratoni – 乌兹别克语" lang="uz" hreflang="uz" data-title="Oʻpka saratoni" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="乌兹别克语" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/Ung_th%C6%B0_ph%E1%BB%95i" title="Ung thư phổi – 越南语" lang="vi" hreflang="vi" data-title="Ung thư phổi" data-language-autonym="Tiếng Việt" data-language-local-name="越南语" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-war mw-list-item"><a href="https://war.wikipedia.org/wiki/Kanser_han_baga" title="Kanser han baga – 瓦瑞语" lang="war" hreflang="war" data-title="Kanser han baga" data-language-autonym="Winaray" data-language-local-name="瓦瑞语" class="interlanguage-link-target"><span>Winaray</span></a></li><li class="interlanguage-link interwiki-wuu mw-list-item"><a href="https://wuu.wikipedia.org/wiki/%E8%82%BA%E7%99%8C" title="肺癌 – 吴语" lang="wuu" hreflang="wuu" data-title="肺癌" data-language-autonym="吴语" data-language-local-name="吴语" class="interlanguage-link-target"><span>吴语</span></a></li><li class="interlanguage-link interwiki-yi mw-list-item"><a href="https://yi.wikipedia.org/wiki/%D7%9C%D7%95%D7%A0%D7%92%D7%A2%D7%9F_%D7%A7%D7%A2%D7%A0%D7%A1%D7%A2%D7%A8" title="לונגען קענסער – 意第绪语" lang="yi" hreflang="yi" data-title="לונגען קענסער" data-language-autonym="ייִדיש" data-language-local-name="意第绪语" class="interlanguage-link-target"><span>ייִדיש</span></a></li><li class="interlanguage-link interwiki-za mw-list-item"><a href="https://za.wikipedia.org/wiki/Aizcwng_Bwt" title="Aizcwng Bwt – 壮语" lang="za" hreflang="za" data-title="Aizcwng Bwt" data-language-autonym="Vahcuengh" data-language-local-name="壮语" class="interlanguage-link-target"><span>Vahcuengh</span></a></li><li class="interlanguage-link interwiki-zh-min-nan mw-list-item"><a href="https://zh-min-nan.wikipedia.org/wiki/H%C3%AC-g%C3%A2m" title="Hì-gâm – 闽南语" lang="nan" hreflang="nan" data-title="Hì-gâm" data-language-autonym="閩南語 / Bân-lâm-gú" data-language-local-name="闽南语" class="interlanguage-link-target"><span>閩南語 / Bân-lâm-gú</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E8%82%BA%E7%99%8C" title="肺癌 – 粤语" lang="yue" hreflang="yue" data-title="肺癌" data-language-autonym="粵語" data-language-local-name="粤语" class="interlanguage-link-target"><span>粵語</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q47912#sitelinks-wikipedia" title="编辑跨语言链接" class="wbc-editpage">编辑链接</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="命名空间"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet 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hreflang="zh-Hant-HK"><span>香港繁體</span></a></li><li id="ca-varlang-5" class="ca-variants-zh-Hant-MO mw-list-item"><a href="/zh-mo/%E8%82%BA%E7%99%8C" lang="zh-Hant-MO" hreflang="zh-Hant-MO"><span>澳門繁體</span></a></li><li id="ca-varlang-6" class="ca-variants-zh-Hans-MY mw-list-item"><a href="/zh-my/%E8%82%BA%E7%99%8C" lang="zh-Hans-MY" hreflang="zh-Hans-MY"><span>大马简体</span></a></li><li id="ca-varlang-7" class="ca-variants-zh-Hans-SG mw-list-item"><a href="/zh-sg/%E8%82%BA%E7%99%8C" lang="zh-Hans-SG" hreflang="zh-Hans-SG"><span>新加坡简体</span></a></li><li id="ca-varlang-8" class="ca-variants-zh-Hant-TW mw-list-item"><a href="/zh-tw/%E8%82%BA%E7%99%8C" lang="zh-Hant-TW" hreflang="zh-Hant-TW"><span>臺灣正體</span></a></li> </ul> </div> </div> </div> </div> </nav> </div> <div id="right-navigation" class="vector-collapsible"> <nav aria-label="查看"> <div id="p-views" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-views" > <div class="vector-menu-content"> <ul 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class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet" aria-hidden="true" ><span class="vector-dropdown-label-text">工具</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-tools-unpinned-container" class="vector-unpinned-container"> <div id="vector-page-tools" class="vector-page-tools vector-pinnable-element"> <div class="vector-pinnable-header vector-page-tools-pinnable-header vector-pinnable-header-unpinned" data-feature-name="page-tools-pinned" data-pinnable-element-id="vector-page-tools" data-pinned-container-id="vector-page-tools-pinned-container" data-unpinned-container-id="vector-page-tools-unpinned-container" > <div class="vector-pinnable-header-label">工具</div> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-page-tools.pin">移至侧栏</button> <button class="vector-pinnable-header-toggle-button 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title="链接到连接的数据仓库项目[g]" accesskey="g"><span>维基数据项目</span></a></li> </ul> </div> </div> </div> </div> </div> </div> </nav> </div> </div> </div> <div class="vector-column-end"> <div class="vector-sticky-pinned-container"> <nav class="vector-page-tools-landmark" aria-label="页面工具"> <div id="vector-page-tools-pinned-container" class="vector-pinned-container"> </div> </nav> <nav class="vector-appearance-landmark" aria-label="外观"> <div id="vector-appearance-pinned-container" class="vector-pinned-container"> <div id="vector-appearance" class="vector-appearance vector-pinnable-element"> <div class="vector-pinnable-header vector-appearance-pinnable-header vector-pinnable-header-pinned" data-feature-name="appearance-pinned" data-pinnable-element-id="vector-appearance" data-pinned-container-id="vector-appearance-pinned-container" data-unpinned-container-id="vector-appearance-unpinned-container" > <div class="vector-pinnable-header-label">外观</div> <button class="vector-pinnable-header-toggle-button 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data-file-height="40" /></span></span></div></td><td class="mbox-text"><div class="mbox-text-span"><div class="multiple-issues-text mw-collapsible"><b>本條目存在以下問題</b>,請協助<b><a class="external text" href="https://zh.wikipedia.org/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit">改善本條目</a></b>或在<b><a href="/wiki/Talk:%E8%82%BA%E7%99%8C" title="Talk:肺癌">討論頁</a></b>針對議題發表看法。 <div class="mw-collapsible-content"> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r83732972"><table class="box-Expand_language plainlinks metadata ambox ambox-notice" role="presentation"><tbody><tr><td class="mbox-image"><div style="width:52px"><span class="skin-invert" typeof="mw:File"><span><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/d/da/Translation_to_zh_arrow.svg/50px-Translation_to_zh_arrow.svg.png" decoding="async" width="50" height="17" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/da/Translation_to_zh_arrow.svg/75px-Translation_to_zh_arrow.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/da/Translation_to_zh_arrow.svg/100px-Translation_to_zh_arrow.svg.png 2x" data-file-width="60" data-file-height="20" /></span></span></div></td><td class="mbox-text"><div class="mbox-text-span">此條目<b>可参照<a href="https://en.wikipedia.org/wiki/Lung_cancer" class="extiw" title="en:Lung cancer">英語維基百科</a>相應條目来扩充</b>,此條目在對應語言版為高品質條目。<span class="hide-when-compact"></span> <small class="date-container"><i>(<span class="date">2024年7月5日</span>)</i></small><span class="hide-when-compact"><br /><small>若您熟悉来源语言和主题,请协助<a href="/wiki/Wikipedia:%E7%BF%BB%E8%AF%91%E5%AE%88%E5%88%99" class="mw-redirect" title="Wikipedia:翻译守则">参考外语维基百科扩充条目</a>。请勿直接提交机械翻译,也不要翻译不可靠、低品质内容。依<a href="/wiki/Wikipedia:%E5%9C%A8%E7%BB%B4%E5%9F%BA%E7%99%BE%E7%A7%91%E5%86%85%E5%A4%8D%E5%88%B6%E5%86%85%E5%AE%B9" 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href="mw-data:TemplateStyles:r85100532"><div role="note" class="hatnote navigation-not-searchable"><span class="noviewer hatnote-notice-img" typeof="mw:File"><a href="/wiki/Wikipedia:%E6%B6%88%E6%AD%A7%E4%B9%89" title="Wikipedia:消歧义"><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/5f/Disambig_gray.svg/25px-Disambig_gray.svg.png" decoding="async" width="25" height="19" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/5f/Disambig_gray.svg/38px-Disambig_gray.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/5f/Disambig_gray.svg/50px-Disambig_gray.svg.png 2x" data-file-width="220" data-file-height="168" /></a></span>此條目介紹的是肺部癌症。关于其他肺部肿瘤,请见「<b><a href="/wiki/%E8%82%BA%E9%83%A8%E8%82%BF%E7%98%A4" title="肺部肿瘤">肺部肿瘤</a></b>」。</div> <style data-mw-deduplicate="TemplateStyles:r83732082">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}body.skin-minerva .mw-parser-output .infobox-header,body.skin-minerva .mw-parser-output .infobox-subheader,body.skin-minerva .mw-parser-output .infobox-above,body.skin-minerva .mw-parser-output .infobox-title,body.skin-minerva .mw-parser-output .infobox-image,body.skin-minerva .mw-parser-output .infobox-full-data,body.skin-minerva .mw-parser-output .infobox-below{text-align:center}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}html.skin-theme-clientpref-night .mw-parser-output .infobox td div:not(.notheme)[style]{background:transparent!important;color:var(--color-base,#202122)}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox td div:not(.notheme)[style]{background:transparent!important;color:var(--color-base,#202122)}}html.skin-theme-clientpref-night .mw-parser-output .infobox td div.NavHead:not(.notheme)[style]{background:transparent!important}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox td div.NavHead:not(.notheme)[style]{background:transparent!important}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color:lightgrey">肺癌</th></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">又称</th><td class="infobox-data" style="">支气管肺癌、支气管或肺恶性肿瘤<sup id="cite_ref-ICD_1-0" class="reference"><a href="#cite_note-ICD-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup>、原发性支气管癌<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><td colspan="2" class="infobox-full-data" style=""><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:LungCACXR.PNG" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/0/03/LungCACXR.PNG/300px-LungCACXR.PNG" decoding="async" width="300" height="291" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/0/03/LungCACXR.PNG/450px-LungCACXR.PNG 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/0/03/LungCACXR.PNG/600px-LungCACXR.PNG 2x" data-file-width="968" data-file-height="940" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data" style=""><a href="/wiki/%E8%83%B8%E9%83%A8X%E5%85%89" title="胸部X光">胸部X光</a>(胸片)显示出肺部肿瘤(箭头所指处)。</td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">症状</th><td class="infobox-data" style="">咳嗽(包含<a href="/wiki/%E5%92%B3%E8%A1%80" title="咳血">咳嗽咳出血</a>)、<a href="/wiki/%E9%AB%94%E9%87%8D%E6%B8%9B%E8%BC%95" class="mw-redirect" title="體重減輕">體重減輕</a>、<a href="/wiki/%E5%91%BC%E5%90%B8%E7%9F%AD%E4%BF%83" class="mw-redirect" title="呼吸短促">呼吸短促</a>、各種<a href="/wiki/%E8%83%B8%E7%97%9B" title="胸痛">胸痛</a><sup id="cite_ref-Harrison_3-0" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">起病年龄</th><td class="infobox-data" style="">~70 歲<sup id="cite_ref-SEER_4-0" class="reference"><a href="#cite_note-SEER-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">类型</th><td class="infobox-data" style=""><a href="/wiki/%E5%B0%8F%E7%BB%86%E8%83%9E%E7%99%8C" title="小细胞癌">小细胞癌</a>(SCLC)、<span class="ilh-all" data-orig-title="非小細胞癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="non-small-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%9D%9E%E5%B0%8F%E7%B4%B0%E8%83%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="非小細胞癌(页面不存在)">非小細胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/non-small-cell_lung_carcinoma" class="extiw" title="en:non-small-cell lung carcinoma"><span lang="en" dir="auto">non-small-cell lung carcinoma</span></a></span>)</span></span>(NSCLC)<sup id="cite_ref-NCI2016Pt_5-0" class="reference"><a href="#cite_note-NCI2016Pt-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E9%A3%8E%E9%99%A9%E5%9B%A0%E7%B4%A0" title="风险因素">风险因素</a></th><td class="infobox-data" style=""><a href="/wiki/%E5%90%B8%E8%8F%B8" title="吸菸">吸菸</a>、<a href="/wiki/%E9%81%97%E4%BC%A0%E5%AD%A6" title="遗传学">遺傳因子</a>、<a href="/wiki/%E6%B0%A1" title="氡">氡</a>氣、<a href="/wiki/%E7%9F%B3%E6%A3%89" title="石棉">石棉</a>、<a href="/wiki/%E7%A9%BA%E6%B0%A3%E6%B1%A1%E6%9F%93" title="空氣污染">空氣污染</a><sup id="cite_ref-MurrayNadel52_6-0" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-O&#39;Reilly_7-0" class="reference"><a href="#cite_note-O&#39;Reilly-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E8%AF%8A%E6%96%AD" title="诊断">診斷方法</a></th><td class="infobox-data" style=""><a href="/wiki/%E9%86%AB%E5%AD%B8%E5%BD%B1%E5%83%8F" title="醫學影像">醫學影像</a>、<a href="/wiki/%E6%B4%BB%E9%AB%94%E7%B5%84%E7%B9%94%E5%88%87%E7%89%87" class="mw-redirect" title="活體組織切片">活體組織切片</a><sup id="cite_ref-Holland-Frei78_8-0" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Merck_9-0" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">治療</th><td class="infobox-data" style=""><a href="/wiki/%E5%A4%96%E7%A7%91%E5%AD%A6" title="外科学">外科手術</a>、<a href="/wiki/%E5%8C%96%E5%AD%A6%E7%96%97%E6%B3%95" title="化学疗法">化学疗法</a>、<a href="/wiki/%E6%94%BE%E5%B0%84%E7%B7%9A%E7%99%82%E6%B3%95" class="mw-redirect" title="放射線療法">放射線療法</a><sup id="cite_ref-Merck_9-1" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E9%A2%84%E5%90%8E" title="预后">预后</a></th><td class="infobox-data" style=""><a href="/wiki/%E4%BA%94%E5%B9%B4%E5%AD%98%E6%B4%BB%E7%8E%87" title="五年存活率">五年存活率</a> 17.4%(美國)<sup id="cite_ref-SEER_4-1" class="reference"><a href="#cite_note-SEER-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E6%82%A3%E7%97%85%E7%8E%87" title="患病率">患病率</a></th><td class="infobox-data" style="">330萬(2015年)<sup id="cite_ref-GBD2015Pre_10-0" class="reference"><a href="#cite_note-GBD2015Pre-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;">死亡數</th><td class="infobox-data" style="">170萬(2015年)<sup id="cite_ref-GBD2015De_11-0" class="reference"><a href="#cite_note-GBD2015De-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th colspan="2" class="infobox-header" style="background:#eee;;;">分类和外部资源</th></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E9%86%AB%E5%AD%B8%E5%B0%88%E7%A7%91" title="醫學專科">醫學專科</a></th><td class="infobox-data" style=""><a href="/wiki/%E8%82%BF%E7%98%A4%E5%AD%A6" title="肿瘤学">肿瘤学</a></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E7%96%BE%E7%97%85%E5%92%8C%E6%9C%89%E5%85%B3%E5%81%A5%E5%BA%B7%E9%97%AE%E9%A2%98%E7%9A%84%E5%9B%BD%E9%99%85%E7%BB%9F%E8%AE%A1%E5%88%86%E7%B1%BB" class="mw-redirect" title="疾病和有关健康问题的国际统计分类">ICD</a>-<a href="/wiki/ICD-11" title="ICD-11">11</a></th><td class="infobox-data" style="">2C25</td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E7%96%BE%E7%97%85%E5%92%8C%E6%9C%89%E5%85%B3%E5%81%A5%E5%BA%B7%E9%97%AE%E9%A2%98%E7%9A%84%E5%9B%BD%E9%99%85%E7%BB%9F%E8%AE%A1%E5%88%86%E7%B1%BB" class="mw-redirect" title="疾病和有关健康问题的国际统计分类">ICD</a>-<a href="/wiki/ICD-10" title="ICD-10">10</a></th><td class="infobox-data" style="">C3333.-C3434.</td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E7%96%BE%E7%97%85%E5%92%8C%E6%9C%89%E5%85%B3%E5%81%A5%E5%BA%B7%E9%97%AE%E9%A2%98%E7%9A%84%E5%9B%BD%E9%99%85%E7%BB%9F%E8%AE%A1%E5%88%86%E7%B1%BB" class="mw-redirect" title="疾病和有关健康问题的国际统计分类">ICD</a>-<a href="/wiki/ICD-9%E7%BC%96%E7%A0%81%E5%88%97%E8%A1%A8" title="ICD-9编码列表">9-CM</a></th><td class="infobox-data" style="">162.3、​162.5、​162.8、​162.4</td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E4%BA%BA%E9%A1%9E%E5%AD%9F%E5%BE%B7%E7%88%BE%E9%81%BA%E5%82%B3%E5%AD%B8" title="人類孟德爾遺傳學">OMIM</a></th><td class="infobox-data" style=""><a rel="nofollow" class="external text" href="https://omim.org/entry/211980、​608935、​612593、​614210、​612571">211980、​608935、​612593、​614210、​612571</a></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/%E7%96%BE%E7%97%85%E8%B3%87%E6%96%99%E5%BA%AB" title="疾病資料庫">DiseasesDB</a></th><td class="infobox-data" style=""><a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb7616.htm">7616</a></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th><td class="infobox-data" style=""><a rel="nofollow" class="external text" href="https://medlineplus.gov/ency/article/007194、​007270.htm">007194、​007270</a></td></tr><tr><th scope="row" class="infobox-label" style="white-space:nowrap;"><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></th><td class="infobox-data" style="">279960、​280104、​362919、​358274、​358433</td></tr><tr class="noprint"><td colspan="2" class="infobox-full-data" style="text-align: right; font-size:0.9em;">[<a href="https://www.wikidata.org/wiki/Q47912" class="extiw" title="d:Q47912">编辑此条目的维基数据</a>]</td></tr></tbody></table> <p><b>肺癌</b>(<span lang="en">lung cancer</span><sup id="cite_ref-Merck_9-2" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>),也称<b>支气管肺癌</b><sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup>,<a href="/wiki/%E4%B8%96%E5%8D%AB%E7%BB%84%E7%BB%87" class="mw-redirect" title="世卫组织">世卫组织</a>称<b>支气管或肺恶性肿瘤</b><sup id="cite_ref-ICD_1-1" class="reference"><a href="#cite_note-ICD-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup>,是发生于<a href="/wiki/%E6%94%AF%E6%B0%94%E7%AE%A1" class="mw-redirect" title="支气管">支气管</a>或<a href="/wiki/%E8%82%BA" title="肺">肺部</a>的<a href="/wiki/%E6%81%B6%E6%80%A7%E8%82%BF%E7%98%A4" class="mw-redirect" title="恶性肿瘤">惡性肿瘤</a>,起源于<a href="/wiki/%E7%BB%84%E7%BB%87_(%E7%94%9F%E7%89%A9%E5%AD%A6)" title="组织 (生物学)">組織</a><a href="/wiki/%E7%BB%86%E8%83%9E" title="细胞">细胞</a>不受控制地<span class="ilh-all" data-orig-title="細胞生長" data-lang-code="en" data-lang-name="英语" data-foreign-title="cell growth"><span class="ilh-page"><a href="/w/index.php?title=%E7%B4%B0%E8%83%9E%E7%94%9F%E9%95%B7&amp;action=edit&amp;redlink=1" class="new" title="細胞生長(页面不存在)">生長</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/cell_growth" class="extiw" title="en:cell growth"><span lang="en" dir="auto">cell growth</span></a></span>)</span></span><sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup>。如治疗不及时,<a href="/wiki/%E8%B4%85%E7%94%9F%E7%89%A9" title="贅生物">肿瘤细胞</a>将很可能<a href="/wiki/%E9%81%A0%E7%AB%AF%E8%BD%89%E7%A7%BB" title="遠端轉移">转移</a>至鄰近組織或其他身體部位<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup>。肺部最常見的原發性<a href="/wiki/%E7%99%8C%E7%97%87" title="癌症">惡性腫瘤</a>屬於<a href="/wiki/%E7%99%8C" title="癌">上皮癌</a><sup id="cite_ref-WCR2014Chp5.1_16-0" class="reference"><a href="#cite_note-WCR2014Chp5.1-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup>,可粗分為<a href="/wiki/%E5%B0%8F%E7%BB%86%E8%83%9E%E7%99%8C" title="小细胞癌">小细胞癌</a>(SCLC)和<span class="ilh-all" data-orig-title="非小细胞癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="non-small-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%9D%9E%E5%B0%8F%E7%BB%86%E8%83%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="非小细胞癌(页面不存在)">非小细胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/non-small-cell_lung_carcinoma" class="extiw" title="en:non-small-cell lung carcinoma"><span lang="en" dir="auto">non-small-cell lung carcinoma</span></a></span>)</span></span>(NSCLC)<sup id="cite_ref-NCI2016Pt_5-1" class="reference"><a href="#cite_note-NCI2016Pt-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup>。肺癌最常見的<a href="/wiki/%E7%97%87%E7%8B%80" class="mw-redirect" title="症狀">症狀</a>有<a href="/wiki/%E5%92%B3%E5%97%BD" title="咳嗽">咳嗽</a>(包括<a href="/wiki/%E5%92%B3%E8%A1%80" title="咳血">咳血</a>)、<a href="/wiki/%E9%AB%94%E9%87%8D%E4%B8%8B%E9%99%8D" title="體重下降">体重减轻</a>、气短和<a href="/wiki/%E8%83%B8%E7%97%9B" title="胸痛">胸痛</a><sup id="cite_ref-Harrison_3-1" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>大多数(85%)肺癌患者患病的原因为长期<a href="/wiki/%E5%90%B8%E8%8F%B8" title="吸菸">吸菸</a><sup id="cite_ref-MurrayNadel52_6-1" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup>,然而亦有大约10-15%的患者从不吸菸<sup id="cite_ref-Thun_17-0" class="reference"><a href="#cite_note-Thun-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup>。这部分人患上肺癌常是由于<a href="/wiki/%E9%81%97%E4%BC%A0%E5%AD%A6" title="遗传学">遗传因素</a>和吸入<a href="/wiki/%E6%B0%A1" title="氡">氡氣</a>、<a href="/wiki/%E7%9F%B3%E6%A3%89" title="石棉">石棉</a>、<a href="/wiki/%E4%BA%8C%E6%89%8B%E7%85%99" title="二手煙">二手煙</a>,或其他空气污染物共同导致<sup id="cite_ref-MurrayNadel52_6-2" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-AUTOREF_18-0" class="reference"><a href="#cite_note-AUTOREF-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-O&#39;Reilly_7-1" class="reference"><a href="#cite_note-O&#39;Reilly-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-AUTOREF1_19-0" class="reference"><a href="#cite_note-AUTOREF1-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup>。肺癌在<a href="/wiki/%E8%83%B8%E9%83%A8X%E5%85%89" title="胸部X光">胸部X光</a>或<a href="/wiki/X%E5%B0%84%E7%BA%BF%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%88%90%E5%83%8F" class="mw-redirect" title="X射线计算机断层成像">斷層掃描</a>(CT)中可见<sup id="cite_ref-Merck_9-3" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>,并可通过<a href="/wiki/%E6%94%AF%E6%B0%94%E7%AE%A1%E9%95%9C%E6%A3%80%E6%9F%A5" title="支气管镜检查">支气管镜检查</a>或CT引导下进行<a href="/wiki/%E6%B4%BB%E9%AB%94%E7%B5%84%E7%B9%94%E5%88%87%E7%89%87" class="mw-redirect" title="活體組織切片">活检</a>确诊<sup id="cite_ref-Holland-Frei78_8-1" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Collins_20-0" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>避開汙染物等風險因子為最主要的預防方式<sup id="cite_ref-NCI2015Pre_21-0" class="reference"><a href="#cite_note-NCI2015Pre-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup>。肺癌的治疗和长期疗效取决于<a href="/wiki/%E8%82%BA%E7%99%8C%E5%88%86%E6%9C%9F" title="肺癌分期">类型</a>、阶段(转移的程度)和患者的整体健康状况<sup id="cite_ref-Merck_9-4" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。大多數的肺癌無法治癒<sup id="cite_ref-NCI2016Pt_5-2" class="reference"><a href="#cite_note-NCI2016Pt-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup>,常見治療方式有<a href="/wiki/%E5%A4%96%E7%A7%91%E5%AD%A6" title="外科学">外科手術</a>、<a href="/wiki/%E5%8C%96%E7%96%97" class="mw-redirect" title="化疗">化疗</a>和<a href="/wiki/%E6%94%BE%E7%96%97" class="mw-redirect" title="放疗">放疗</a><sup id="cite_ref-Merck_9-5" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。非小细胞肺癌有时采用手术治疗,而小细胞肺癌(SCLC)通常对化疗和放疗的效果佳<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>在2012年,全球約有180萬人新罹患肺癌,並導致160萬人死亡<sup id="cite_ref-WCR2014Chp5.1_16-1" class="reference"><a href="#cite_note-WCR2014Chp5.1-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup>。肺癌是男性常見的癌症致死病因,在女性則僅次於<a href="/wiki/%E4%B9%B3%E7%99%8C" title="乳癌">乳癌</a>,列名第二<sup id="cite_ref-WCR2014Epi_23-0" class="reference"><a href="#cite_note-WCR2014Epi-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup>。肺癌最常於70歲上下診斷<sup id="cite_ref-SEER_4-2" class="reference"><a href="#cite_note-SEER-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup>。在美国,总体而言患者在确诊为肺癌之後,有17.4%的人<a href="/wiki/%E4%BA%94%E5%B9%B4%E5%AD%98%E6%B4%BB%E7%8E%87" title="五年存活率">存活时间超过5年</a><sup id="cite_ref-SEER_4-3" class="reference"><a href="#cite_note-SEER-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup>,而这个比例在发展中国家则较低<sup id="cite_ref-Maj2009_24-0" class="reference"><a href="#cite_note-Maj2009-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup>。 </p> <style data-mw-deduplicate="TemplateStyles:r56805754">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><meta property="mw:PageProp/toc" /></div> <p>在2020年,全球新发肺癌病例约220.7 万,新增肺癌死亡病例约179.6万,分别占全部恶性肿瘤新发和死亡病例的11.4%和18.0%。<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup>2022年中国新发肺癌病例约87.1万,新增肺癌死亡病例约76.7万,分别占所有恶性肿瘤发病和死亡病例的18.1%和23.9%。<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="臨床表現"><span id=".E8.87.A8.E5.BA.8A.E8.A1.A8.E7.8F.BE"></span>臨床表現</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=1" title="编辑章节:臨床表現"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>肺癌的臨床表現包含:<sup id="cite_ref-Harrison_3-2" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>呼吸道症狀:<a href="/wiki/%E5%92%B3%E5%97%BD" title="咳嗽">咳嗽</a>、<a href="/wiki/%E5%92%B3%E8%A1%80" title="咳血">咳血</a>、<a href="/wiki/%E5%96%98%E9%B3%B4" title="喘鳴">喘鳴</a>,或<a href="/wiki/%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE" title="呼吸困难">呼吸困难</a></li> <li>全身性症狀:體重減輕、<a href="/wiki/%E8%99%9B%E5%BC%B1" title="虛弱">虛弱</a>、<a href="/wiki/%E5%8F%91%E7%83%AD" title="发热">发热</a>,或<a href="/wiki/%E6%9D%B5%E7%8B%80%E6%8C%87" title="杵狀指">杵狀指</a></li> <li>癌组织压迫临近组织所致的症状:<a href="/wiki/%E8%83%B8%E7%97%9B" title="胸痛">胸痛</a>、<span class="ilh-all" data-orig-title="骨痛" data-lang-code="en" data-lang-name="英语" data-foreign-title="bone pain"><span class="ilh-page"><a href="/w/index.php?title=%E9%AA%A8%E7%97%9B&amp;action=edit&amp;redlink=1" class="new" title="骨痛(页面不存在)">骨痛</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/bone_pain" class="extiw" title="en:bone pain"><span lang="en" dir="auto">bone pain</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="上腔静脉阻塞" data-lang-code="en" data-lang-name="英语" data-foreign-title="superior vena cava obstruction"><span class="ilh-page"><a href="/w/index.php?title=%E4%B8%8A%E8%85%94%E9%9D%99%E8%84%89%E9%98%BB%E5%A1%9E&amp;action=edit&amp;redlink=1" class="new" title="上腔静脉阻塞(页面不存在)">上腔静脉阻塞</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/superior_vena_cava_obstruction" class="extiw" title="en:superior vena cava obstruction"><span lang="en" dir="auto">superior vena cava obstruction</span></a></span>)</span></span>、<a href="/wiki/%E5%90%9E%E5%92%BD%E5%9B%B0%E9%9A%BE" class="mw-redirect" title="吞咽困难">吞咽困难</a>。</li></ul> <p>如果肿瘤生长在<a href="/wiki/%E5%91%BC%E5%90%B8%E9%81%93" title="呼吸道">呼吸道</a>,那么其可能会阻断气流,造成<a href="/wiki/%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE" title="呼吸困难">呼吸困难</a>,还可能阻碍呼吸道分泌物的排出,使得分泌物聚积在呼吸道,增加罹患<a href="/wiki/%E8%82%BA%E7%82%8E" title="肺炎">阻塞性肺炎</a>的可能性<sup id="cite_ref-Harrison_3-3" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>不同类型肿瘤,会导致不同的<a href="/wiki/%E8%85%AB%E7%98%A4%E4%BC%B4%E9%9A%A8%E7%97%87%E5%80%99%E7%BE%A4" title="腫瘤伴隨症候群">腫瘤伴隨症候群</a>。這些與原病灶發生處無關的症狀,常作為初始症狀表現,往往才是肺癌被發現的主因<sup id="cite_ref-Honnorat_27-0" class="reference"><a href="#cite_note-Honnorat-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup>。肺癌的腫瘤伴隨症狀可能包括<a href="/wiki/%E9%AB%98%E8%A1%80%E9%88%A3" title="高血鈣">高血鈣</a>、<span class="ilh-all" data-orig-title="抗利尿激素分泌异常综合征" data-lang-code="en" data-lang-name="英语" data-foreign-title="syndrome of inappropriate antidiuretic hormone"><span class="ilh-page"><a href="/w/index.php?title=%E6%8A%97%E5%88%A9%E5%B0%BF%E6%BF%80%E7%B4%A0%E5%88%86%E6%B3%8C%E5%BC%82%E5%B8%B8%E7%BB%BC%E5%90%88%E5%BE%81&amp;action=edit&amp;redlink=1" class="new" title="抗利尿激素分泌异常综合征(页面不存在)">抗利尿激素分泌异常综合征</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/syndrome_of_inappropriate_antidiuretic_hormone" class="extiw" title="en:syndrome of inappropriate antidiuretic hormone"><span lang="en" dir="auto">syndrome of inappropriate antidiuretic hormone</span></a></span>)</span></span>(SIADH,尿液异常浓缩和血液稀释)、異位性<a href="/wiki/%E4%BF%83%E8%85%8E%E4%B8%8A%E8%85%BA%E7%9A%AE%E8%B3%AA%E6%BF%80%E7%B4%A0" title="促腎上腺皮質激素">促腎上腺皮質激素</a>(ACTH)分泌、<a href="/wiki/Lambert-Eaton_%E8%82%8C%E7%84%A1%E5%8A%9B%E7%97%87%E5%80%99%E7%BE%A4" class="mw-redirect" title="Lambert-Eaton 肌無力症候群">Lambert-Eaton 肌無力症候群</a>(<a href="/wiki/%E8%87%AA%E9%AB%94%E5%85%8D%E7%96%AB%E7%96%BE%E7%97%85" class="mw-redirect" title="自體免疫疾病">自身抗体</a>引起的肌无力)。<a href="/wiki/%E8%82%BA" title="肺">肺尖部</a>的肿瘤称为<span class="ilh-all" data-orig-title="潘科斯特瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="Pancoast tumor"><span class="ilh-page"><a href="/w/index.php?title=%E6%BD%98%E7%A7%91%E6%96%AF%E7%89%B9%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="潘科斯特瘤(页面不存在)">潘科斯特瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Pancoast_tumor" class="extiw" title="en:Pancoast tumor"><span lang="en" dir="auto">Pancoast tumor</span></a></span>)</span></span>可能会侵犯局部<a href="/wiki/%E4%BA%A4%E6%84%9F%E7%A5%9E%E7%BB%8F%E7%B3%BB%E7%BB%9F" class="mw-redirect" title="交感神经系统">交感神经系统</a>,导致<span class="ilh-all" data-orig-title="霍纳氏综合征" data-lang-code="en" data-lang-name="英语" data-foreign-title="Horner&#39;s syndrome"><span class="ilh-page"><a href="/w/index.php?title=%E9%9C%8D%E7%BA%B3%E6%B0%8F%E7%BB%BC%E5%90%88%E5%BE%81&amp;action=edit&amp;redlink=1" class="new" title="霍纳氏综合征(页面不存在)">霍纳氏综合征</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Horner%27s_syndrome" class="extiw" title="en:Horner&#39;s syndrome"><span lang="en" dir="auto">Horner's syndrome</span></a></span>)</span></span>(眼睑低垂和同侧瞳孔缩小),也可能会损伤<a href="/wiki/%E8%87%82%E7%A5%9E%E7%BB%8F%E4%B8%9B" title="臂神经丛">臂神经丛</a><sup id="cite_ref-Harrison_3-4" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>肺癌的许多症状都不具特异性,如食慾減退、消瘦、發熱和疲乏無力等等<sup id="cite_ref-Holland-Frei78_8-2" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。因此许多患者在出现症状后就医时,癌组织早已从原发部位扩散转移<sup id="cite_ref-ajcc_28-0" class="reference"><a href="#cite_note-ajcc-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup>。提示出现癌转移的症状有消瘦、骨痛和神经系统症状(头痛、<a href="/wiki/%E6%98%8F%E5%8E%A5" class="mw-redirect" title="昏厥">昏厥</a>、<a href="/wiki/%E6%83%8A%E5%8E%A5" class="mw-redirect" title="惊厥">惊厥</a>或四肢无力)<sup id="cite_ref-Harrison_3-5" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。肺癌常見的轉移部位有脑、骨、<a href="/wiki/%E8%82%BE%E4%B8%8A%E8%85%BA" class="mw-redirect" title="肾上腺">肾上腺</a>、对侧肺、肝、<a href="/wiki/%E5%BF%83%E5%8C%85%E8%86%9C" class="mw-redirect" title="心包膜">心包膜</a>和<a href="/wiki/%E8%82%BE%E8%84%8F" class="mw-redirect" title="肾脏">肾脏</a><sup id="cite_ref-ajcc_28-1" class="reference"><a href="#cite_note-ajcc-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup>。大约10%肺癌患者被确诊时没有临床症状,而是在常规胸片检查时意外发现<sup id="cite_ref-Collins_20-1" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="病因"><span id=".E7.97.85.E5.9B.A0"></span>病因</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=2" title="编辑章节:病因"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/14/Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg/290px-Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg.png" decoding="async" width="290" height="143" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/14/Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg/435px-Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/14/Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg/580px-Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg.png 2x" data-file-width="514" data-file-height="253" /></a><figcaption>二十世紀美國人均吸菸量(藍色)與男性肺癌發生率(暗黃色)關係圖。</figcaption></figure> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Cumulative_risk_of_death_from_lung_cancer_1990.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/6/64/Cumulative_risk_of_death_from_lung_cancer_1990.svg/langzh-290px-Cumulative_risk_of_death_from_lung_cancer_1990.svg.png" decoding="async" width="290" height="217" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/64/Cumulative_risk_of_death_from_lung_cancer_1990.svg/langzh-435px-Cumulative_risk_of_death_from_lung_cancer_1990.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/64/Cumulative_risk_of_death_from_lung_cancer_1990.svg/langzh-580px-Cumulative_risk_of_death_from_lung_cancer_1990.svg.png 2x" data-file-width="750" data-file-height="560" /></a><figcaption>吸菸程度與肺癌的關係呈現強烈正相關</figcaption></figure> <p>細胞的癌變與<a href="/wiki/%E8%84%B1%E6%B0%A7%E6%A0%B8%E7%B3%96%E6%A0%B8%E9%85%B8" title="脱氧核糖核酸">DNA</a>及表觀遺傳等遺傳信息的突變有關,这些变化会影响细胞的正常功能,包括细胞增殖、程序性细胞死亡(<a href="/wiki/%E7%BB%86%E8%83%9E%E5%87%8B%E4%BA%A1" title="细胞凋亡">细胞凋亡</a>)和DNA修复。损伤累积的越多,癌症发生的风险就越高<sup id="cite_ref-Holland-Frei8_29-0" class="reference"><a href="#cite_note-Holland-Frei8-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="吸菸"><span id=".E5.90.B8.E8.8F.B8"></span>吸菸</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=3" title="编辑章节:吸菸"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/%E5%90%B8%E8%8F%B8" title="吸菸">吸菸</a>是目前为止导致肺癌的主要原因<sup id="cite_ref-MurrayNadel52_6-3" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup>。香菸菸雾中含有至少<span class="ilh-all" data-orig-title="香菸煙霧致癌物質烈表" data-lang-code="en" data-lang-name="英语" data-foreign-title="list of cigarette smoke carcinogens"><span class="ilh-page"><a href="/w/index.php?title=%E9%A6%99%E8%8F%B8%E7%85%99%E9%9C%A7%E8%87%B4%E7%99%8C%E7%89%A9%E8%B3%AA%E7%83%88%E8%A1%A8&amp;action=edit&amp;redlink=1" class="new" title="香菸煙霧致癌物質烈表(页面不存在)">73种已知的致癌物质</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/list_of_cigarette_smoke_carcinogens" class="extiw" title="en:list of cigarette smoke carcinogens"><span lang="en" dir="auto">list of cigarette smoke carcinogens</span></a></span>)</span></span><sup id="cite_ref-Hecht_30-0" class="reference"><a href="#cite_note-Hecht-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup>,包括<a href="/wiki/%E8%8B%AF%E4%B8%A6%EF%BC%BBa%EF%BC%BD%E8%8A%98" title="苯並[a]芘">苯并芘</a><sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/NNK_(%E5%8C%96%E5%90%88%E7%89%A9)" title="NNK (化合物)">NNK</a>、<a href="/wiki/%E4%B8%81%E4%BA%8C%E7%83%AF" title="丁二烯">1,3-丁二烯</a>,以及<a href="/wiki/%E9%92%8B-210" title="钋-210">钋-210</a>等<a href="/wiki/%E6%94%BE%E5%B0%84%E6%80%A7%E5%90%8C%E4%BD%8D%E7%B4%A0" class="mw-redirect" title="放射性同位素">放射性物質</a><sup id="cite_ref-Hecht_30-1" class="reference"><a href="#cite_note-Hecht-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup>。以发展中国家在2000年的資料來看,患肺癌死亡的男性中90%是吸菸所致(女性为70%)<sup id="cite_ref-Peto_32-0" class="reference"><a href="#cite_note-Peto-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup>。吸菸导致的肺癌患者占了肺癌病人的85%<sup id="cite_ref-Merck_9-6" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/%E8%A2%AB%E5%8A%A8%E5%90%B8%E7%83%9F" class="mw-redirect" title="被动吸烟">被动吸烟</a>(吸二手菸,意为吸入其他吸菸者产生的菸草煙雾)也是导致不吸菸的人患上肺癌的原因。美国<sup id="cite_ref-AUTOREF7_33-0" class="reference"><a href="#cite_note-AUTOREF7-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Alberg_35-0" class="reference"><a href="#cite_note-Alberg-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> 、欧洲<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup>,和英国<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup>的研究都表明被动吸菸者患肺癌风险在显著增加<sup id="cite_ref-Taylor_38-0" class="reference"><a href="#cite_note-Taylor-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup>。和吸菸者共同生活的人患病风险增加20-30%,而工作环境中有二手菸的人其患病风险增加16-19%<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">&#91;</span>39<span class="cite-bracket">&#93;</span></a></sup>。而研究亦顯示<span class="ilh-all" data-orig-title="側流菸" data-lang-code="en" data-lang-name="英语" data-foreign-title="sidestream smoke"><span class="ilh-page"><a href="/w/index.php?title=%E5%81%B4%E6%B5%81%E8%8F%B8&amp;action=edit&amp;redlink=1" class="new" title="側流菸(页面不存在)">側流菸</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/sidestream_smoke" class="extiw" title="en:sidestream smoke"><span lang="en" dir="auto">sidestream smoke</span></a></span>)</span></span>比直接吸菸更危险<sup id="cite_ref-Schick_40-0" class="reference"><a href="#cite_note-Schick-40"><span class="cite-bracket">&#91;</span>40<span class="cite-bracket">&#93;</span></a></sup>。美国每年有大约3,400人死于被动吸菸造成的肺癌<sup id="cite_ref-Alberg_35-1" class="reference"><a href="#cite_note-Alberg-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>大麻和菸草菸雾中含有许多相同致癌物<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">&#91;</span>41<span class="cite-bracket">&#93;</span></a></sup>,但抽<a href="/wiki/%E5%A4%A7%E9%BA%BB%E5%B1%9E" title="大麻属">大麻</a>对患肺癌风险的影响还不清楚<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">&#91;</span>42<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">&#91;</span>43<span class="cite-bracket">&#93;</span></a></sup>。2013年的一篇回顾性文章并未发现轻度到中度吸食大麻会使患肺癌风险增加<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">&#91;</span>44<span class="cite-bracket">&#93;</span></a></sup>。而2014年的回顧性文章则发现吸食大麻会使肺癌风险增加一倍<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">&#91;</span>45<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="氡氣"><span id=".E6.B0.A1.E6.B0.A3"></span>氡氣</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=4" title="编辑章节:氡氣"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/%E6%B0%A1" title="氡">氡</a>是一种无色无味的<a href="/wiki/%E6%B0%94%E4%BD%93" title="气体">气体</a>,由<a href="/wiki/%E5%9C%B0%E7%90%83%E5%9C%B0%E5%A3%B3" title="地球地壳">地壳</a>中存在的<a href="/wiki/%E9%93%80" class="mw-redirect" title="铀">铀</a>的衰变产物<a href="/wiki/%E9%95%AD" title="镭">镭</a>裂變後生成。这些放射衰变产物会使遗传物质电离,進而導致基因產生某些致癌突变。氡气是美国肺癌的第二常见的暴露因子<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">&#91;</span>46<span class="cite-bracket">&#93;</span></a></sup>。每年导致约21,000人死亡<sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">&#91;</span>47<span class="cite-bracket">&#93;</span></a></sup>。氡气浓度每立方米升高100<a href="/wiki/%E8%B2%9D%E5%8F%AF%E8%90%8A%E7%88%BE" title="貝可萊爾">贝可</a>(100&#160;Bq/m³),其致癌风险就会增加8-16%<sup id="cite_ref-48" class="reference"><a href="#cite_note-48"><span class="cite-bracket">&#91;</span>48<span class="cite-bracket">&#93;</span></a></sup>。 氡气含量随区域和下层土壤、岩石的成分变化而不同。美国每15个家庭中就有大约一个的氡气水平超过了建议量每升4皮居里(4&#160;<a href="/wiki/%E5%B1%85%E9%87%8C_(%E5%8D%95%E4%BD%8D)" title="居里 (单位)">pCi</a>/l)<sup id="cite_ref-EPA_radon_49-0" class="reference"><a href="#cite_note-EPA_radon-49"><span class="cite-bracket">&#91;</span>49<span class="cite-bracket">&#93;</span></a></sup>。「密閉」、「通風不足」、「一樓的地板有裂縫,使得土壤中的氡逸散到室內」的建築,將有較高濃度的<a href="/wiki/%E6%B0%A1" title="氡">氡</a>。 </p> <div class="mw-heading mw-heading3"><h3 id="石棉"><span id=".E7.9F.B3.E6.A3.89"></span>石棉</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=5" title="编辑章节:石棉"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/%E7%9F%B3%E6%A3%89" title="石棉">石棉</a>可导致多种肺病,包括肺癌。石棉者和吸菸會產生<a href="/wiki/%E5%8D%8F%E5%90%8C%E4%BD%9C%E7%94%A8" class="mw-redirect" title="协同作用">協同作用</a>,大幅增加罹患肺癌的機會<sup id="cite_ref-O&#39;Reilly_7-2" class="reference"><a href="#cite_note-O&#39;Reilly-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup>。吸菸者工作环境中有石棉时,其患肺癌风险較一般人高了45倍<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">&#91;</span>50<span class="cite-bracket">&#93;</span></a></sup>。石棉也可导致<a href="/wiki/%E8%83%B8%E8%86%9C" title="胸膜">胸膜</a>癌變,稱為<a href="/wiki/%E9%96%93%E7%9A%AE%E7%98%A4" title="間皮瘤">間皮瘤</a>(和肺癌不同)<sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">&#91;</span>51<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="空氣汙染物"><span id=".E7.A9.BA.E6.B0.A3.E6.B1.99.E6.9F.93.E7.89.A9"></span>空氣汙染物</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=6" title="编辑章节:空氣汙染物"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>戶外空氣汙染物會增加罹患肺癌的風險,特別是燃燒化石燃料產生的廢氣<sup id="cite_ref-MurrayNadel52_6-4" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup>。懸浮细<a href="/wiki/%E6%87%B8%E6%B5%AE%E7%B2%92%E5%AD%90" title="懸浮粒子">颗粒</a>(PM<sub>2.5</sub>)和<span class="ilh-all" data-orig-title="硫酸盐气溶胶" data-lang-code="en" data-lang-name="英语" data-foreign-title="Stratospheric sulfur aerosols"><span class="ilh-page"><a href="/w/index.php?title=%E7%A1%AB%E9%85%B8%E7%9B%90%E6%B0%94%E6%BA%B6%E8%83%B6&amp;action=edit&amp;redlink=1" class="new" title="硫酸盐气溶胶(页面不存在)">硫酸盐气溶胶</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Stratospheric_sulfur_aerosols" class="extiw" title="en:Stratospheric sulfur aerosols"><span lang="en" dir="auto">Stratospheric sulfur aerosols</span></a></span>)</span></span>也會稍微提升风险,此類汙染物常來自於汽車排放的廢氣<sup id="cite_ref-MurrayNadel52_6-5" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">&#91;</span>52<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E4%BA%8C%E6%B0%A7%E5%8C%96%E6%B0%AE" title="二氧化氮">二氧化氮</a>浓度每增加10 <a href="/wiki/Ppb" class="mw-redirect" title="Ppb">ppb</a>,人患肺癌风险就上升14%<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">&#91;</span>53<span class="cite-bracket">&#93;</span></a></sup>。据估計,1-2%的肺癌由户外空气污染所致<sup id="cite_ref-MurrayNadel52_6-6" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>初步证据支持<a href="/wiki/%E5%AE%A4%E5%85%A7%E7%A9%BA%E6%B0%A3%E6%B1%A1%E6%9F%93" title="室內空氣污染">室内空气污染</a>会使患肺癌风险增加,包括做饭和取暖时燃烧木材、木炭、粪便或作物残茬<sup id="cite_ref-Lim2012_54-0" class="reference"><a href="#cite_note-Lim2012-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup>。暴露于室内煤烟的女性,罹患肺癌风险會提升大概一倍,许多<a href="/wiki/%E7%94%9F%E7%89%A9%E8%B4%A8" title="生物质">生物质</a>燃烧后的副产品是已知或可疑的致癌物<sup id="cite_ref-Sood2012_55-0" class="reference"><a href="#cite_note-Sood2012-55"><span class="cite-bracket">&#91;</span>55<span class="cite-bracket">&#93;</span></a></sup>。这一风险影響全球大约24亿人<sup id="cite_ref-Lim2012_54-1" class="reference"><a href="#cite_note-Lim2012-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup>,據信約有1.5%的肺癌死亡病例是由此导致<sup id="cite_ref-Sood2012_55-1" class="reference"><a href="#cite_note-Sood2012-55"><span class="cite-bracket">&#91;</span>55<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="遺傳因素"><span id=".E9.81.BA.E5.82.B3.E5.9B.A0.E7.B4.A0"></span>遺傳因素</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=7" title="编辑章节:遺傳因素"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>约8%肺癌由遗传因素所致<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup>。若亲属中有肺癌患者时患病风险會增加一倍, 本疾病可能由<span class="ilh-all" data-orig-title="多基因性疾病" data-lang-code="en" data-lang-name="英语" data-foreign-title="polygenic disorder"><span class="ilh-page"><a href="/w/index.php?title=%E5%A4%9A%E5%9F%BA%E5%9B%A0%E6%80%A7%E7%96%BE%E7%97%85&amp;action=edit&amp;redlink=1" class="new" title="多基因性疾病(页面不存在)">多基因</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/polygenic_disorder" class="extiw" title="en:polygenic disorder"><span lang="en" dir="auto">polygenic disorder</span></a></span>)</span></span>共同調控<sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup>。目前已知5、6和15号染色体上的基因<a href="/wiki/%E5%96%AE%E6%A0%B8%E8%8B%B7%E9%85%B8%E5%A4%9A%E6%85%8B%E6%80%A7" title="單核苷酸多態性">多态性</a>会影响患肺癌的风险<sup id="cite_ref-58" class="reference"><a href="#cite_note-58"><span class="cite-bracket">&#91;</span>58<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="其他原因"><span id=".E5.85.B6.E4.BB.96.E5.8E.9F.E5.9B.A0"></span>其他原因</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=8" title="编辑章节:其他原因"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>许多其它物质、职业及所处环境都与肺癌有关联。<a href="/wiki/%E5%9B%BD%E9%99%85%E7%99%8C%E7%97%87%E7%A0%94%E7%A9%B6%E6%9C%BA%E6%9E%84" title="国际癌症研究机构">国际癌症研究机构</a>(IARC)声称有“充足证据证明”以下物质是肺部的致癌物<sup id="cite_ref-WHOListLungCancer_59-0" class="reference"><a href="#cite_note-WHOListLungCancer-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup>: </p> <ul><li>某些金属(<a href="/wiki/%E9%93%9D" title="铝">铝</a>制品、<a href="/wiki/%E9%95%89" title="镉">镉</a>及其化合物、<a href="/wiki/%E9%93%AC" title="铬">铬</a>(VI)化合物、<a href="/wiki/%E9%93%8D" title="铍">铍</a>及其化合物、<a href="/wiki/%E9%92%A2%E9%93%81" class="mw-redirect" title="钢铁">钢铁</a>、<a href="/wiki/%E9%95%8D" title="镍">镍</a>化合物、<a href="/wiki/%E7%A0%B7" title="砷">砷</a>及无机砷化合物、地下<a href="/wiki/%E8%B5%A4%E9%93%81%E7%9F%BF" title="赤铁矿">赤铁矿</a>)</li> <li>一些燃烧产物(不完全燃烧产物、<a href="/wiki/%E7%85%A4" title="煤">煤</a>(家庭烧煤所致室内排放物)、煤的气化物、煤-<a href="/wiki/%E7%84%A6%E6%B2%B9" title="焦油">焦油</a>沥青、<a href="/wiki/%E7%84%A6%E7%82%AD" title="焦炭">焦炭</a>生产所排放物质、煤烟、<a href="/wiki/%E6%9F%B4%E6%B2%B9%E5%BC%95%E6%93%8E" title="柴油引擎">柴油机</a>排放气体)</li> <li>电离辐射(<a href="/wiki/X%E5%B0%84%E7%BA%BF" title="X射线">X射线</a>、<a href="/wiki/%E4%BC%BD%E9%A9%AC%E5%B0%84%E7%BA%BF" title="伽马射线">伽马射线</a>、<a href="/wiki/%E9%92%9A" title="钚">钚</a>)</li> <li>一些有害气体(<a href="/wiki/%E7%94%B2%E9%86%9A" class="mw-redirect" title="甲醚">甲醚</a>(工业级)、双氯甲醚(氯甲基)、硫<a href="/wiki/%E8%8A%A5%E5%AD%90%E6%AF%92%E6%B0%94" title="芥子毒气">芥</a>、<span class="ilh-all" data-orig-title="长春新碱-强的松-氮芥-甲基苄肼混合物" data-lang-code="en" data-lang-name="英语" data-foreign-title="Mustargen Oncovin Procarbazine Prednisone"><span class="ilh-page"><a href="/w/index.php?title=%E9%95%BF%E6%98%A5%E6%96%B0%E7%A2%B1-%E5%BC%BA%E7%9A%84%E6%9D%BE-%E6%B0%AE%E8%8A%A5-%E7%94%B2%E5%9F%BA%E8%8B%84%E8%82%BC%E6%B7%B7%E5%90%88%E7%89%A9&amp;action=edit&amp;redlink=1" class="new" title="长春新碱-强的松-氮芥-甲基苄肼混合物(页面不存在)">MOPP</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Mustargen_Oncovin_Procarbazine_Prednisone" class="extiw" title="en:Mustargen Oncovin Procarbazine Prednisone"><span lang="en" dir="auto">Mustargen Oncovin Procarbazine Prednisone</span></a></span>)</span></span>、油画释放的气体)</li> <li><a href="/wiki/%E6%A9%A1%E8%83%B6" class="mw-redirect" title="橡胶">橡胶</a>制品和结晶<a href="/wiki/%E4%BA%8C%E6%B0%A7%E5%8C%96%E7%A1%85" title="二氧化硅">矽尘</a></li> <li><span class="ilh-all ilh-blue" data-orig-title="硬皮症" data-lang-code="en" data-lang-name="英语" data-foreign-title="systemic sclerosis"><span class="ilh-page"><a href="/wiki/%E7%A1%AC%E7%9A%AE%E7%97%87" class="mw-redirect" title="硬皮症">硬皮症</a></span></span>患者罹患肺癌風險稍高。</li></ul> <div class="mw-heading mw-heading2"><h2 id="致病機轉"><span id=".E8.87.B4.E7.97.85.E6.A9.9F.E8.BD.89"></span>致病機轉</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=9" title="编辑章节:致病機轉"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r85100532"><div role="note" class="hatnote navigation-not-searchable">参见:<a href="/wiki/%E7%99%8C%E5%8F%98" title="癌变">癌变</a></div> <p>和许多其它癌症类似,肺癌也始于原<a href="/wiki/%E7%99%8C%E5%9F%BA%E5%9B%A0" title="癌基因">癌基因</a>的激活或<a href="/wiki/%E6%8A%91%E7%99%8C%E5%9F%BA%E5%9B%A0" class="mw-redirect" title="抑癌基因">抑癌基因</a>的灭活<sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup>。而致癌物正是誘發這些變的因素<sup id="cite_ref-61" class="reference"><a href="#cite_note-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup>。<i><span class="ilh-all" data-orig-title="Ras (protein)" data-lang-code="en" data-lang-name="英语" data-foreign-title="Ras (protein)"><span class="ilh-page"><a href="/w/index.php?title=Ras_(protein)&amp;action=edit&amp;redlink=1" class="new" title="Ras (protein)(页面不存在)">K-ras</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Ras_(protein)" class="extiw" title="en:Ras (protein)"><span lang="en" dir="auto">Ras (protein)</span></a></span>)</span></span></i>原癌基因的<a href="/wiki/%E7%AA%81%E5%8F%98" title="突变">突变</a>导致10-30%的肺腺癌<sup id="cite_ref-NEJM-molecular_62-0" class="reference"><a href="#cite_note-NEJM-molecular-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Aviel-Ronen_63-0" class="reference"><a href="#cite_note-Aviel-Ronen-63"><span class="cite-bracket">&#91;</span>63<span class="cite-bracket">&#93;</span></a></sup>。大概4%的非小细胞肺癌与一个<span class="ilh-all" data-orig-title="EML4-ALK" data-lang-code="en" data-lang-name="英语" data-foreign-title="EML4-ALK"><span class="ilh-page"><a href="/w/index.php?title=EML4-ALK&amp;action=edit&amp;redlink=1" class="new" title="EML4-ALK(页面不存在)">EML4-ALK</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/EML4-ALK" class="extiw" title="en:EML4-ALK"><span lang="en" dir="auto">EML4-ALK</span></a></span>)</span></span><a href="/wiki/%E9%85%AA%E6%B0%A8%E9%85%B8%E6%BF%80%E9%85%B6" title="酪氨酸激酶">酪氨酸激酶</a>融合基因有关<sup id="cite_ref-64" class="reference"><a href="#cite_note-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E8%A1%A8%E8%A7%82%E9%81%97%E4%BC%A0%E5%AD%A6" class="mw-redirect" title="表观遗传学">表观遗传学</a>的变化——如<a href="/wiki/DNA%E7%94%B2%E5%9F%BA%E5%8C%96" title="DNA甲基化">DNA甲基化</a>,<a href="/wiki/%E7%BB%84%E7%BB%87%E8%9B%8B%E7%99%BD" class="mw-redirect" title="组织蛋白">组织蛋白</a>尾部修饰或小核糖核酸(<a href="/wiki/%E5%BE%AERNA" class="mw-redirect" title="微RNA">微RNA</a>)调控的改变可能会导致抑癌基因的灭活<sup id="cite_ref-Jakopovic_65-0" class="reference"><a href="#cite_note-Jakopovic-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/%E8%A1%A8%E7%9A%AE%E7%94%9F%E9%95%BF%E5%9B%A0%E5%AD%90%E5%8F%97%E4%BD%93" title="表皮生长因子受体">表皮细胞生长因子受体</a>(EGFR)调控细胞增殖、<a href="/wiki/%E7%BB%86%E8%83%9E%E5%87%8B%E4%BA%A1" title="细胞凋亡">凋亡</a>、<a href="/wiki/%E8%A1%80%E7%AE%A1%E6%96%B0%E7%94%9F" title="血管新生">血管生成</a>和肿瘤侵袭<sup id="cite_ref-NEJM-molecular_62-1" class="reference"><a href="#cite_note-NEJM-molecular-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup>。EGFR基因的突變和增幅是非小細胞癌常見的致病機轉,因此EGFR抑制劑可以用於某些肺癌的治療<sup id="cite_ref-NEJM-molecular_62-2" class="reference"><a href="#cite_note-NEJM-molecular-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup>。其它经常发生突变或扩增的基因有<span class="ilh-all" data-orig-title="c-MET" data-lang-code="en" data-lang-name="英语" data-foreign-title="c-MET"><span class="ilh-page"><a href="/w/index.php?title=C-MET&amp;action=edit&amp;redlink=1" class="new" title="C-MET(页面不存在)">c-MET</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/c-MET" class="extiw" title="en:c-MET"><span lang="en" dir="auto">c-MET</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="NKX2-1" data-lang-code="en" data-lang-name="英语" data-foreign-title="NKX2-1"><span class="ilh-page"><a href="/w/index.php?title=NKX2-1&amp;action=edit&amp;redlink=1" class="new" title="NKX2-1(页面不存在)">NKX2-1</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/NKX2-1" class="extiw" title="en:NKX2-1"><span lang="en" dir="auto">NKX2-1</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="LKB1" data-lang-code="en" data-lang-name="英语" data-foreign-title="LKB1"><span class="ilh-page"><a href="/w/index.php?title=LKB1&amp;action=edit&amp;redlink=1" class="new" title="LKB1(页面不存在)">LKB1</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/LKB1" class="extiw" title="en:LKB1"><span lang="en" dir="auto">LKB1</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="PIK3CA" data-lang-code="en" data-lang-name="英语" data-foreign-title="PIK3CA"><span class="ilh-page"><a href="/w/index.php?title=PIK3CA&amp;action=edit&amp;redlink=1" class="new" title="PIK3CA(页面不存在)">PIK3CA</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/PIK3CA" class="extiw" title="en:PIK3CA"><span lang="en" dir="auto">PIK3CA</span></a></span>)</span></span>和<span class="ilh-all" data-orig-title="BRAF" data-lang-code="en" data-lang-name="英语" data-foreign-title="BRAF"><span class="ilh-page"><a href="/w/index.php?title=BRAF&amp;action=edit&amp;redlink=1" class="new" title="BRAF(页面不存在)">BRAF</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/BRAF" class="extiw" title="en:BRAF"><span lang="en" dir="auto">BRAF</span></a></span>)</span></span><sup id="cite_ref-NEJM-molecular_62-3" class="reference"><a href="#cite_note-NEJM-molecular-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>其细胞株系起源機制尚不完全清楚<sup id="cite_ref-Harrison_3-6" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。机理可能涉及<a href="/wiki/%E5%B9%B2%E7%BB%86%E8%83%9E" class="mw-redirect" title="干细胞">干细胞</a>的异常活化。在气道近端,表达<span class="ilh-all" data-orig-title="角蛋白5" data-lang-code="en" data-lang-name="英语" data-foreign-title="keratin 5"><span class="ilh-page"><a href="/w/index.php?title=%E8%A7%92%E8%9B%8B%E7%99%BD5&amp;action=edit&amp;redlink=1" class="new" title="角蛋白5(页面不存在)">角蛋白5</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/keratin_5" class="extiw" title="en:keratin 5"><span lang="en" dir="auto">keratin 5</span></a></span>)</span></span>的干细胞最易發生癌變,导致肺鳞状细胞癌。在气道中段,<span class="ilh-all" data-orig-title="支氣管無纖毛分泌細胞" data-lang-code="en" data-lang-name="英语" data-foreign-title="club cell"><span class="ilh-page"><a href="/w/index.php?title=%E6%94%AF%E6%B0%A3%E7%AE%A1%E7%84%A1%E7%BA%96%E6%AF%9B%E5%88%86%E6%B3%8C%E7%B4%B0%E8%83%9E&amp;action=edit&amp;redlink=1" class="new" title="支氣管無纖毛分泌細胞(页面不存在)">支氣管無纖毛分泌細胞</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/club_cell" class="extiw" title="en:club cell"><span lang="en" dir="auto">club cell</span></a></span>)</span></span>(club cell)和<a href="/wiki/%E7%A5%9E%E7%B6%93%E4%B8%8A%E7%9A%AE%E7%B4%B0%E8%83%9E" title="神經上皮細胞">神经上皮細胞</a>等會表達<span class="ilh-all" data-orig-title="子宮球蛋白" data-lang-code="en" data-lang-name="英语" data-foreign-title="uteroglobin"><span class="ilh-page"><a href="/w/index.php?title=%E5%AD%90%E5%AE%AE%E7%90%83%E8%9B%8B%E7%99%BD&amp;action=edit&amp;redlink=1" class="new" title="子宮球蛋白(页面不存在)">子宮球蛋白</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/uteroglobin" class="extiw" title="en:uteroglobin"><span lang="en" dir="auto">uteroglobin</span></a></span>)</span></span>的細胞具幹細胞性質。小细胞肺癌可能来源于这些细胞系<sup id="cite_ref-Mulvihill_66-0" class="reference"><a href="#cite_note-Mulvihill-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup>,或<a href="/wiki/%E7%A5%9E%E7%BB%8F%E5%88%86%E6%B3%8C%E7%BB%86%E8%83%9E" class="mw-redirect" title="神经分泌细胞">神经分泌细胞</a><sup id="cite_ref-Harrison_3-7" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>,也可能会表达<a href="/wiki/CD44" title="CD44">CD44</a><sup id="cite_ref-Mulvihill_66-1" class="reference"><a href="#cite_note-Mulvihill-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>肺癌細胞在原發時大多為上皮细胞型,但該型細胞並不利遠端轉移,必須要轉變為<a href="/wiki/%E9%97%B4%E5%85%85%E8%B4%A8" title="间充质">间质</a>细胞型才可以進行遠端轉移,該現象稱為<span class="ilh-all" data-orig-title="上皮間質轉化" data-lang-code="en" data-lang-name="英语" data-foreign-title="Mesenchymal–epithelial transition"><span class="ilh-page"><a href="/w/index.php?title=%E4%B8%8A%E7%9A%AE%E9%96%93%E8%B3%AA%E8%BD%89%E5%8C%96&amp;action=edit&amp;redlink=1" class="new" title="上皮間質轉化(页面不存在)">上皮間質轉化</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Mesenchymal%E2%80%93epithelial_transition" class="extiw" title="en:Mesenchymal–epithelial transition"><span lang="en" dir="auto">Mesenchymal–epithelial transition</span></a></span>)</span></span>。涉及轉化的蛋白包含<a href="/wiki/%E8%9B%8B%E7%99%BD%E6%BF%80%E9%85%B6B" title="蛋白激酶B">Akt</a>/<span class="ilh-all" data-orig-title="GSK3B" data-lang-code="en" data-lang-name="英语" data-foreign-title="GSK3B"><span class="ilh-page"><a href="/w/index.php?title=GSK3B&amp;action=edit&amp;redlink=1" class="new" title="GSK3B(页面不存在)">GSK3Beta</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/GSK3B" class="extiw" title="en:GSK3B"><span lang="en" dir="auto">GSK3B</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="MEK-ERK" data-lang-code="en" data-lang-name="英语" data-foreign-title="MEK-ERK"><span class="ilh-page"><a href="/w/index.php?title=MEK-ERK&amp;action=edit&amp;redlink=1" class="new" title="MEK-ERK(页面不存在)">MEK-ERK</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/MEK-ERK" class="extiw" title="en:MEK-ERK"><span lang="en" dir="auto">MEK-ERK</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="Fas受体" data-lang-code="en" data-lang-name="英语" data-foreign-title="Fas receptor"><span class="ilh-page"><a href="/w/index.php?title=Fas%E5%8F%97%E4%BD%93&amp;action=edit&amp;redlink=1" class="new" title="Fas受体(页面不存在)">Fas</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Fas_receptor" class="extiw" title="en:Fas receptor"><span lang="en" dir="auto">Fas receptor</span></a></span>)</span></span>和Par6等<sup id="cite_ref-Powell_2013_67-0" class="reference"><a href="#cite_note-Powell_2013-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/COPD" class="mw-redirect" title="COPD">COPD</a>和<a href="/wiki/%E8%82%BA%E7%BA%A4%E7%BB%B4%E5%8C%96" title="肺纤维化">肺纤维化</a>(<span class="ilh-all" data-orig-title="α1-抗胰蛋白酶" data-lang-code="en" data-lang-name="英语" data-foreign-title="α1-antitrypsin"><span class="ilh-page"><a href="/w/index.php?title=%CE%911-%E6%8A%97%E8%83%B0%E8%9B%8B%E7%99%BD%E9%85%B6&amp;action=edit&amp;redlink=1" class="new" title="Α1-抗胰蛋白酶(页面不存在)">α1-抗胰蛋白酶</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/%CE%B11-antitrypsin" class="extiw" title="en:α1-antitrypsin"><span lang="en" dir="auto">α1-antitrypsin</span></a></span>)</span></span>缺乏)可能增加肺癌易感性;此外,吸烟者补充<a href="/wiki/%CE%92-%E8%83%A1%E8%90%9D%E5%8D%9C%E7%B4%A0" title="Β-胡萝卜素">β-胡萝卜素</a>也会增加患肺癌的危险性。空气污染和雪茄烟雾中含有致癌物质,这些致癌物质可能存在一定的致癌风险,但尚未显示可引起肺癌。患者若有其他的肺部疾病(如<a href="/wiki/%E8%82%BA%E7%BB%93%E6%A0%B8" class="mw-redirect" title="肺结核">肺结核</a>)所致瘢痕,那么他们的患癌风险也将增加。<sup id="cite_ref-Merck_9-7" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> </p><p><a href="/wiki/%E5%91%BC%E5%90%B8%E9%81%93%E4%B8%8A%E7%9A%AE%E7%B4%B0%E8%83%9E" class="mw-redirect" title="呼吸道上皮細胞">呼吸道上皮细胞</a>需长时间暴露于促癌物质下并逐渐积累多种基因突变才能成为<a href="/wiki/%E6%96%B0%E7%94%9F%E7%89%A9" class="mw-redirect" title="新生物">腫瘤</a>。刺激细胞生长(K-ras, MYC)的<a href="/wiki/%E5%9F%BA%E5%9B%A0" title="基因">基因</a>突变逐渐导致生长因子受体(EGFR,HER2/neu)信号异常,抑制凋亡(BCL-2),引起异常细胞增殖。此外,肿瘤抑制基因的突变(p53、APC)亦可导致癌症。<sup id="cite_ref-Merck_9-8" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="诊断"><span id=".E8.AF.8A.E6.96.AD"></span>诊断</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=10" title="编辑章节:诊断"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/3/3f/Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg/220px-Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg" decoding="async" width="220" height="159" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/3f/Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg/330px-Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/3f/Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg/440px-Thorax_CT_peripheres_Brronchialcarcinom_li_OF.jpg 2x" data-file-width="506" data-file-height="366" /></a><figcaption><a href="/wiki/X%E5%B0%84%E7%BA%BF%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%88%90%E5%83%8F" class="mw-redirect" title="X射线计算机断层成像">CT</a>扫描显示左肺一癌性肿瘤</figcaption></figure> <p>當病人的症狀疑為肺癌時,<a href="/wiki/%E8%83%B8%E9%83%A8X%E5%85%89" title="胸部X光">胸部影像學</a>檢查可提供初步的檢查和評估。肺癌在影像學的表現包括如单个肿块、多发肿块、孤立的肺结节等等。另外還有肺门增大、<a href="/wiki/%E7%B8%B1%E8%86%88" title="縱膈">纵隔</a>增宽(可能代表縱膈腔<a href="/wiki/%E6%B7%8B%E5%B7%B4%E7%B5%90" title="淋巴結">淋巴結</a>轉移)、<a href="/w/index.php?title=%E8%82%BA%E4%B8%8D%E5%BC%A0&amp;action=edit&amp;redlink=1" class="new" title="肺不张(页面不存在)">肺不张</a>、气管支气管狭窄、肺實變,未緩解的实质浸润、空洞。或其他原因無法解釋的<a href="/wiki/%E8%82%8B%E8%86%9C%E7%A9%8D%E6%B0%B4" class="mw-redirect" title="肋膜積水">肋膜積水</a><sup id="cite_ref-Merck_9-9" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/X%E5%B0%84%E7%BA%BF%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%88%90%E5%83%8F" class="mw-redirect" title="X射线计算机断层成像">電腦斷層</a>(CT)可以提供更多相關資訊,例如說腫瘤的擴散程度及類別,也相較胸部X光片更能發現縱膈腔後的腫瘤。但上述影像學檢查僅能夠提供診斷上的參考,確診必須透過<span class="ilh-all" data-orig-title="细胞病理学" data-lang-code="en" data-lang-name="英语" data-foreign-title="Cytopathology"><span class="ilh-page"><a href="/w/index.php?title=%E7%BB%86%E8%83%9E%E7%97%85%E7%90%86%E5%AD%A6&amp;action=edit&amp;redlink=1" class="new" title="细胞病理学(页面不存在)">细胞病理学</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Cytopathology" class="extiw" title="en:Cytopathology"><span lang="en" dir="auto">Cytopathology</span></a></span>)</span></span>證實。因此可以透過<a href="/wiki/%E6%94%AF%E6%B0%94%E7%AE%A1%E9%95%9C%E6%A3%80%E6%9F%A5" title="支气管镜检查">支气管镜检查</a>或CT引导下的组织活检,進行<span class="ilh-all" data-orig-title="组织病理学" data-lang-code="en" data-lang-name="英语" data-foreign-title="Histopathology"><span class="ilh-page"><a href="/w/index.php?title=%E7%BB%84%E7%BB%87%E7%97%85%E7%90%86%E5%AD%A6&amp;action=edit&amp;redlink=1" class="new" title="组织病理学(页面不存在)">组织病理学</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Histopathology" class="extiw" title="en:Histopathology"><span lang="en" dir="auto">Histopathology</span></a></span>)</span></span>检查的取样<sup id="cite_ref-Collins_20-2" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>胸片上肺癌通常表现为一个<span class="ilh-all" data-orig-title="單一肺結節" data-lang-code="en" data-lang-name="英语" data-foreign-title="solitary pulmonary nodule"><span class="ilh-page"><a href="/w/index.php?title=%E5%96%AE%E4%B8%80%E8%82%BA%E7%B5%90%E7%AF%80&amp;action=edit&amp;redlink=1" class="new" title="單一肺結節(页面不存在)">單一肺結節</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/solitary_pulmonary_nodule" class="extiw" title="en:solitary pulmonary nodule"><span lang="en" dir="auto">solitary pulmonary nodule</span></a></span>)</span></span>。但由於有許多症狀類似的疾病,因此仍須配合其他檢查以進行<a href="/wiki/%E9%89%B4%E5%88%AB%E8%AF%8A%E6%96%AD" class="mw-redirect" title="鉴别诊断">鉴别诊断</a>。與肺癌在影像學類似的疾病包含其他腫瘤的轉移、<span class="ilh-all" data-orig-title="错构瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="hamartomas"><span class="ilh-page"><a href="/w/index.php?title=%E9%94%99%E6%9E%84%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="错构瘤(页面不存在)">错构瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/hamartomas" class="extiw" title="en:hamartomas"><span lang="en" dir="auto">hamartomas</span></a></span>)</span></span>、感染肉芽腫(如肺<a href="/wiki/%E7%BB%93%E6%A0%B8" class="mw-redirect" title="结核">结核</a>、<span class="ilh-all" data-orig-title="組織孢漿菌症" data-lang-code="en" data-lang-name="英语" data-foreign-title="histoplasmosis"><span class="ilh-page"><a href="/w/index.php?title=%E7%B5%84%E7%B9%94%E5%AD%A2%E6%BC%BF%E8%8F%8C%E7%97%87&amp;action=edit&amp;redlink=1" class="new" title="組織孢漿菌症(页面不存在)">組織孢漿菌症</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/histoplasmosis" class="extiw" title="en:histoplasmosis"><span lang="en" dir="auto">histoplasmosis</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="球黴菌症" data-lang-code="en" data-lang-name="英语" data-foreign-title="coccidioidomycosis"><span class="ilh-page"><a href="/w/index.php?title=%E7%90%83%E9%BB%B4%E8%8F%8C%E7%97%87&amp;action=edit&amp;redlink=1" class="new" title="球黴菌症(页面不存在)">球黴菌症</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/coccidioidomycosis" class="extiw" title="en:coccidioidomycosis"><span lang="en" dir="auto">coccidioidomycosis</span></a></span>)</span></span>等等)<sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">&#91;</span>68<span class="cite-bracket">&#93;</span></a></sup>,其他导致单个肺结节但不太常见的原因包括<span class="ilh-all" data-orig-title="支气管源性囊肿" data-lang-code="en" data-lang-name="英语" data-foreign-title="bronchogenic cysts"><span class="ilh-page"><a href="/w/index.php?title=%E6%94%AF%E6%B0%94%E7%AE%A1%E6%BA%90%E6%80%A7%E5%9B%8A%E8%82%BF&amp;action=edit&amp;redlink=1" class="new" title="支气管源性囊肿(页面不存在)">支气管源性囊肿</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/bronchogenic_cysts" class="extiw" title="en:bronchogenic cysts"><span lang="en" dir="auto">bronchogenic cysts</span></a></span>)</span></span>、<a href="/wiki/%E8%85%BA%E7%98%A4" title="腺瘤">腺瘤</a>、<a href="/wiki/%E5%8B%95%E9%9D%9C%E8%84%88%E7%95%B8%E5%BD%A2" class="mw-redirect" title="動靜脈畸形">动静脉畸形</a>、<span class="ilh-all" data-orig-title="肺隔离症" data-lang-code="en" data-lang-name="英语" data-foreign-title="pulmonary sequestration"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%9A%94%E7%A6%BB%E7%97%87&amp;action=edit&amp;redlink=1" class="new" title="肺隔离症(页面不存在)">肺隔离症</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/pulmonary_sequestration" class="extiw" title="en:pulmonary sequestration"><span lang="en" dir="auto">pulmonary sequestration</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="类风湿结节" data-lang-code="en" data-lang-name="英语" data-foreign-title="rheumatoid nodules"><span class="ilh-page"><a href="/w/index.php?title=%E7%B1%BB%E9%A3%8E%E6%B9%BF%E7%BB%93%E8%8A%82&amp;action=edit&amp;redlink=1" class="new" title="类风湿结节(页面不存在)">类风湿结节</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/rheumatoid_nodules" class="extiw" title="en:rheumatoid nodules"><span lang="en" dir="auto">rheumatoid nodules</span></a></span>)</span></span>、<a href="/wiki/%E8%82%89%E8%8A%BD%E8%82%BF" title="肉芽肿">肉芽肿</a>病伴多血管炎或<a href="/wiki/%E6%B7%8B%E5%B7%B4%E7%98%A4" title="淋巴瘤">淋巴瘤</a><sup id="cite_ref-69" class="reference"><a href="#cite_note-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup>。肺癌亦可能在進行其他无关原因做胸部X片或CT扫描时<span class="ilh-all" data-orig-title="偶見瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="incidentaloma"><span class="ilh-page"><a href="/w/index.php?title=%E5%81%B6%E8%A6%8B%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="偶見瘤(页面不存在)">意外發現</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/incidentaloma" class="extiw" title="en:incidentaloma"><span lang="en" dir="auto">incidentaloma</span></a></span>)</span></span><sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">&#91;</span>70<span class="cite-bracket">&#93;</span></a></sup>。肺癌需要通过对可疑组织的临床和影像学特征进行<a href="/wiki/%E7%BB%84%E7%BB%87%E5%AD%A6" title="组织学">组织学</a>检查方能确诊<sup id="cite_ref-Harrison_3-8" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Holland-Frei78_8-3" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E4%B8%B4%E5%BA%8A%E5%AE%9E%E8%B7%B5%E6%8C%87%E5%8D%97" class="mw-redirect" title="临床实践指南">临床实践指南</a>推荐了肺<a href="/wiki/%E7%B5%90%E7%AF%80_(%E9%86%AB%E5%AD%B8)" class="mw-redirect" title="結節 (醫學)">結節</a>的监测频率<sup id="cite_ref-ACCPandATSfive_71-0" class="reference"><a href="#cite_note-ACCPandATSfive-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup>。CT扫描不应使用过长时间或过于频繁,因为会增加人们接触到的射线量<sup id="cite_ref-ACCPandATSfive_71-1" class="reference"><a href="#cite_note-ACCPandATSfive-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><span class="ilh-all" data-orig-title="毛玻璃樣斑塊" data-lang-code="en" data-lang-name="英语" data-foreign-title="Ground-glass opacity"><span class="ilh-page"><a href="/w/index.php?title=%E6%AF%9B%E7%8E%BB%E7%92%83%E6%A8%A3%E6%96%91%E5%A1%8A&amp;action=edit&amp;redlink=1" class="new" title="毛玻璃樣斑塊(页面不存在)">毛玻璃樣斑塊</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Ground-glass_opacity" class="extiw" title="en:Ground-glass opacity"><span lang="en" dir="auto">Ground-glass opacity</span></a></span>)</span></span>(Ground-glass opacity,GGO)是描述胸部照影中的肺部毛玻璃樣病灶,過去大多被視為良性變化。但在更進一步的解剖研究後,發現有些GGO具有惡性潛勢。良性的GGO包含局部間質纖維化(focal interstitial fibrosis)、發炎,或是出血。惡性的狀況則包含<span class="ilh-all" data-orig-title="異形腺瘤性增生" data-lang-code="en" data-lang-name="英语" data-foreign-title="Atypical adenomatous hyperplasia"><span class="ilh-page"><a href="/w/index.php?title=%E7%95%B0%E5%BD%A2%E8%85%BA%E7%98%A4%E6%80%A7%E5%A2%9E%E7%94%9F&amp;action=edit&amp;redlink=1" class="new" title="異形腺瘤性增生(页面不存在)">異形腺瘤性增生</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Atypical_adenomatous_hyperplasia" class="extiw" title="en:Atypical adenomatous hyperplasia"><span lang="en" dir="auto">Atypical adenomatous hyperplasia</span></a></span>)</span></span>(AAH)、<span class="ilh-all" data-orig-title="原位肺腺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Adenocarcinoma in situ of the lung"><span class="ilh-page"><a href="/w/index.php?title=%E5%8E%9F%E4%BD%8D%E8%82%BA%E8%85%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="原位肺腺癌(页面不存在)">原位肺腺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Adenocarcinoma_in_situ_of_the_lung" class="extiw" title="en:Adenocarcinoma in situ of the lung"><span lang="en" dir="auto">Adenocarcinoma in situ of the lung</span></a></span>)</span></span>(AIS),或<span class="ilh-all" data-orig-title="微侵犯型肺腺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Minimally invasive adenocarcinoma of the lung"><span class="ilh-page"><a href="/w/index.php?title=%E5%BE%AE%E4%BE%B5%E7%8A%AF%E5%9E%8B%E8%82%BA%E8%85%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="微侵犯型肺腺癌(页面不存在)">微侵犯型肺腺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Minimally_invasive_adenocarcinoma_of_the_lung" class="extiw" title="en:Minimally invasive adenocarcinoma of the lung"><span lang="en" dir="auto">Minimally invasive adenocarcinoma of the lung</span></a></span>)</span></span>(MIA),以及鱗屑樣為主型肺腺癌(lepidic-predominant invasive adenocarcinomas,LPA)等<sup id="cite_ref-72" class="reference"><a href="#cite_note-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup>。由於GGO的惡性機率高達63%,因此在癌早期發現的角色也越顯重要<sup id="cite_ref-73" class="reference"><a href="#cite_note-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="分类"><span id=".E5.88.86.E7.B1.BB"></span>分类</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=11" title="编辑章节:分类"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Pie_chart_of_lung_cancers_zh-hant.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Pie_chart_of_lung_cancers_zh-hant.svg/260px-Pie_chart_of_lung_cancers_zh-hant.svg.png" decoding="async" width="260" height="199" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Pie_chart_of_lung_cancers_zh-hant.svg/390px-Pie_chart_of_lung_cancers_zh-hant.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Pie_chart_of_lung_cancers_zh-hant.svg/520px-Pie_chart_of_lung_cancers_zh-hant.svg.png 2x" data-file-width="482" data-file-height="368" /></a><figcaption>圓餅圖顯示癌症各分型的發生率,圖中祐標示出各分型癌症中抽菸者的比率<sup id="cite_ref-74" class="reference"><a href="#cite_note-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup>。</figcaption></figure> <table class="wikitable floatright" style="text-align:center;font-size:90%;width:25%;margin-left:1em"> <caption style="background:#E5AFAA;"><b>按组织类型和年龄调整的肺癌<a href="/wiki/%E5%8F%91%E7%97%85%E7%8E%87" title="发病率">发生率</a></b><sup id="cite_ref-MurrayNadel52_6-7" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr style="background: #E5AFAA;text-align:center;font-size:90%;"> <th abbr="Type">组织类型 </th> <th abbr="Frequency">每年每100,00人的发病率 </th></tr> <tr> <td>所有类型 </td> <td>66.9 </td></tr> <tr> <td>腺癌 </td> <td>22.1 </td></tr> <tr> <td>鳞狀上皮癌 </td> <td>14.4 </td></tr> <tr> <td>小细胞癌 </td> <td>9.8 </td></tr></tbody></table> <p>肺癌的分類須透過<span class="ilh-all" data-orig-title="組織病理學" data-lang-code="en" data-lang-name="英语" data-foreign-title="histopathology"><span class="ilh-page"><a href="/w/index.php?title=%E7%B5%84%E7%B9%94%E7%97%85%E7%90%86%E5%AD%B8&amp;action=edit&amp;redlink=1" class="new" title="組織病理學(页面不存在)">組織病理分型</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/histopathology" class="extiw" title="en:histopathology"><span lang="en" dir="auto">histopathology</span></a></span>)</span></span><sup id="cite_ref-Holland-Frei78_8-4" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>,分類對於治療策略的選擇跟預測療效相當重要。肺癌屬於<a href="/wiki/%E7%99%8C" title="癌">上皮癌</a>,意即腫瘤發源自<a href="/wiki/%E4%B8%8A%E7%9A%AE%E7%B5%84%E7%B9%94" title="上皮組織">上皮細胞</a>,可根據<a href="/wiki/%E6%98%BE%E5%BE%AE%E9%95%9C" class="mw-redirect" title="显微镜">顯微鏡</a>下觀察到的癌細胞的大小和形態對肺癌進行分類。為方便治療,肺癌可大致分為<span class="ilh-all" data-orig-title="非小細胞肺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="non-small-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%9D%9E%E5%B0%8F%E7%B4%B0%E8%83%9E%E8%82%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="非小細胞肺癌(页面不存在)">非小細胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/non-small-cell_lung_carcinoma" class="extiw" title="en:non-small-cell lung carcinoma"><span lang="en" dir="auto">non-small-cell lung carcinoma</span></a></span>)</span></span>和<a href="/wiki/%E5%B0%8F%E7%BB%86%E8%83%9E%E8%82%BA%E7%99%8C" class="mw-redirect" title="小细胞肺癌">小細胞肺癌</a><sup id="cite_ref-Robbins_75-0" class="reference"><a href="#cite_note-Robbins-75"><span class="cite-bracket">&#91;</span>75<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading4"><h4 id="非小細胞癌"><span id=".E9.9D.9E.E5.B0.8F.E7.B4.B0.E8.83.9E.E7.99.8C"></span>非小細胞癌</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=12" title="编辑章节:非小細胞癌"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size mw-halign-left" typeof="mw:File/Thumb"><a href="/wiki/File:Squamous_carcinoma_lung_2_cytology.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/5/53/Squamous_carcinoma_lung_2_cytology.jpg/220px-Squamous_carcinoma_lung_2_cytology.jpg" decoding="async" width="220" height="147" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/53/Squamous_carcinoma_lung_2_cytology.jpg/330px-Squamous_carcinoma_lung_2_cytology.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/53/Squamous_carcinoma_lung_2_cytology.jpg/440px-Squamous_carcinoma_lung_2_cytology.jpg 2x" data-file-width="4272" data-file-height="2848" /></a><figcaption><a href="/wiki/%E9%A1%AF%E5%BE%AE%E7%85%A7%E7%9B%B8" class="mw-redirect" title="顯微照相">顯微鏡</a>下的<span class="ilh-all" data-orig-title="鱗狀上皮癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="squamous-cell carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%B1%97%E7%8B%80%E4%B8%8A%E7%9A%AE%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="鱗狀上皮癌(页面不存在)">鱗狀上皮癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/squamous-cell_carcinoma" class="extiw" title="en:squamous-cell carcinoma"><span lang="en" dir="auto">squamous-cell carcinoma</span></a></span>)</span></span>,<span class="ilh-all" data-orig-title="細針抽吸樣本" data-lang-code="en" data-lang-name="英语" data-foreign-title="FNA specimen"><span class="ilh-page"><a href="/w/index.php?title=%E7%B4%B0%E9%87%9D%E6%8A%BD%E5%90%B8%E6%A8%A3%E6%9C%AC&amp;action=edit&amp;redlink=1" class="new" title="細針抽吸樣本(页面不存在)">細針抽吸樣本</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/FNA_specimen" class="extiw" title="en:FNA specimen"><span lang="en" dir="auto">FNA specimen</span></a></span>)</span></span>(FNA),<span class="ilh-all" data-orig-title="柏氏染色" data-lang-code="en" data-lang-name="英语" data-foreign-title="Pap stain"><span class="ilh-page"><a href="/w/index.php?title=%E6%9F%8F%E6%B0%8F%E6%9F%93%E8%89%B2&amp;action=edit&amp;redlink=1" class="new" title="柏氏染色(页面不存在)">柏氏染色</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Pap_stain" class="extiw" title="en:Pap stain"><span lang="en" dir="auto">Pap stain</span></a></span>)</span></span></figcaption></figure> <p>非小細胞癌(NSCLC)可粗分為三大類:<a href="/wiki/%E8%82%BA%E8%85%BA%E7%99%8C" title="肺腺癌">肺腺癌</a>、<span class="ilh-all" data-orig-title="肺鱗狀上皮癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="squamous-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%B1%97%E7%8B%80%E4%B8%8A%E7%9A%AE%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺鱗狀上皮癌(页面不存在)">鱗狀上皮癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/squamous-cell_lung_carcinoma" class="extiw" title="en:squamous-cell lung carcinoma"><span lang="en" dir="auto">squamous-cell lung carcinoma</span></a></span>)</span></span>,和<span class="ilh-all" data-orig-title="大細胞肺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="large-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E5%A4%A7%E7%B4%B0%E8%83%9E%E8%82%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="大細胞肺癌(页面不存在)">大細胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/large-cell_lung_carcinoma" class="extiw" title="en:large-cell lung carcinoma"><span lang="en" dir="auto">large-cell lung carcinoma</span></a></span>)</span></span><sup id="cite_ref-Harrison_3-9" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>接近40%的肺癌屬於肺腺癌,腺癌一般起源於周圍肺組織<sup id="cite_ref-Holland-Frei78_8-5" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。雖然多數腺癌與吸菸有關,但在從未吸菸者、一生抽菸少於100根,以及曾中度吸菸並已戒治者的肺癌患者中,肺腺癌亦為最常見類型<sup id="cite_ref-Harrison_3-10" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Subramanian_76-0" class="reference"><a href="#cite_note-Subramanian-76"><span class="cite-bracket">&#91;</span>76<span class="cite-bracket">&#93;</span></a></sup>。而肺癌的其中一種亞型<span class="ilh-all" data-orig-title="細支氣管肺泡癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="bronchioloalveolar carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E7%B4%B0%E6%94%AF%E6%B0%A3%E7%AE%A1%E8%82%BA%E6%B3%A1%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="細支氣管肺泡癌(页面不存在)">細支氣管肺泡癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/bronchioloalveolar_carcinoma" class="extiw" title="en:bronchioloalveolar carcinoma"><span lang="en" dir="auto">bronchioloalveolar carcinoma</span></a></span>)</span></span>,則多見於女性未吸菸者,其長期存活率較佳<sup id="cite_ref-Raz_77-0" class="reference"><a href="#cite_note-Raz-77"><span class="cite-bracket">&#91;</span>77<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>鱗癌大概占肺癌的30%,一般位於大氣道附近。癌組織中央常可發現因細胞<a href="/wiki/%E5%A3%9E%E6%AD%BB" title="壞死">壞死</a>而形成的空腔<sup id="cite_ref-Holland-Frei78_8-6" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。大約9%的肺癌為大細胞癌。之所以稱其為大細胞癌是因為癌細胞體積大,<a href="/wiki/%E7%B4%B0%E8%83%9E%E8%B3%AA" title="細胞質">細胞質</a>過量,<a href="/wiki/%E7%B4%B0%E8%83%9E%E6%A0%B8" class="mw-redirect" title="細胞核">細胞核</a>大,<a href="/wiki/%E6%A0%B8%E4%BB%81" title="核仁">核仁</a>明顯<sup id="cite_ref-Holland-Frei78_8-7" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading4"><h4 id="小细胞肺癌"><span id=".E5.B0.8F.E7.BB.86.E8.83.9E.E8.82.BA.E7.99.8C"></span>小细胞肺癌</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=13" title="编辑章节:小细胞肺癌"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size mw-halign-left" typeof="mw:File/Thumb"><a href="/wiki/File:Lung_small_cell_carcinoma_(1)_by_core_needle_biopsy.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/5/54/Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg/220px-Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg" decoding="async" width="220" height="166" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/54/Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg/330px-Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/54/Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg/440px-Lung_small_cell_carcinoma_%281%29_by_core_needle_biopsy.jpg 2x" data-file-width="600" data-file-height="452" /></a><figcaption>小细胞肺癌(空芯针穿刺活检后显微镜下观察)</figcaption></figure> <p><a href="/wiki/%E5%B0%8F%E7%BB%86%E8%83%9E%E8%82%BA%E7%99%8C" class="mw-redirect" title="小细胞肺癌">小细胞肺癌</a>(SCLC)的癌细胞内含有緻密的神经内分泌颗粒(即含有<a href="/wiki/%E7%A5%9E%E7%BB%8F%E5%88%86%E6%B3%8C%E7%BB%86%E8%83%9E" class="mw-redirect" title="神经分泌细胞">神经</a>内分泌<a href="/wiki/%E6%BF%80%E7%B4%A0" title="激素">激素</a>的<a href="/wiki/%E5%9B%8A%E6%B3%A1" title="囊泡">囊泡</a>),因此這類肿瘤可能會有内分泌相關的副癌综合征<sup id="cite_ref-Rosti_78-0" class="reference"><a href="#cite_note-Rosti-78"><span class="cite-bracket">&#91;</span>78<span class="cite-bracket">&#93;</span></a></sup>。多数小细胞肺癌发生在大的气道(主支气管和次级<a href="/wiki/%E6%94%AF%E6%B0%A3%E7%AE%A1" title="支氣管">支气管</a>)<sup id="cite_ref-Collins_20-3" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup>。病程中癌组织生长迅速,发生扩散早,60-70%的患者就诊时已有廣泛侵犯的情形(意即一次放射線治療無法打完)。小细胞癌和吸烟有着极大的关系<sup id="cite_ref-Harrison_3-11" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading4"><h4 id="其他"><span id=".E5.85.B6.E4.BB.96"></span>其他</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=14" title="编辑章节:其他"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>公认的主要组织学亚型有四种,有些癌组织可能同時擁有不同亚型<sup id="cite_ref-Robbins_75-1" class="reference"><a href="#cite_note-Robbins-75"><span class="cite-bracket">&#91;</span>75<span class="cite-bracket">&#93;</span></a></sup>,如腺鱗癌<sup id="cite_ref-Holland-Frei78_8-8" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。罕见的亚型包括:<a href="/wiki/%E8%85%BA%E7%98%A4" title="腺瘤">腺瘤</a>、<span class="ilh-all" data-orig-title="肺類癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="lung carcinoid"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%A1%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺類癌(页面不存在)">類癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/lung_carcinoid" class="extiw" title="en:lung carcinoid"><span lang="en" dir="auto">lung carcinoid</span></a></span>)</span></span>和肉瘤樣癌(sarcomatoid carcinomas)<sup id="cite_ref-Holland-Frei78_8-9" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="转移"><span id=".E8.BD.AC.E7.A7.BB"></span>转移</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=15" title="编辑章节:转移"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <table class="wikitable floatright" style="text-align:center;font-size:90%;width:25%;margin-left:1em"> <caption style="background:#E5AFAA;"><b>原發性肺癌的<span class="ilh-all" data-orig-title="Napsin-A" data-lang-code="en" data-lang-name="英语" data-foreign-title="Napsin-A"><span class="ilh-page"><a href="/w/index.php?title=Napsin-A&amp;action=edit&amp;redlink=1" class="new" title="Napsin-A(页面不存在)">Napsin-A</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Napsin-A" class="extiw" title="en:Napsin-A"><span lang="en" dir="auto">Napsin-A</span></a></span>)</span></span>及<span class="ilh-all" data-orig-title="TTF-1" data-lang-code="en" data-lang-name="英语" data-foreign-title="TTF-1"><span class="ilh-page"><a href="/w/index.php?title=TTF-1&amp;action=edit&amp;redlink=1" class="new" title="TTF-1(页面不存在)">TTF-1</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/TTF-1" class="extiw" title="en:TTF-1"><span lang="en" dir="auto">TTF-1</span></a></span>)</span></span><a href="/wiki/%E5%85%8D%E7%96%AB%E6%9F%93%E8%89%B2" title="免疫染色">免疫染色</a></b><sup id="cite_ref-Harrison_3-12" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr style="background: #E5AFAA;text-align:center;font-size:90%;"> <th abbr="Type">免疫分型 </th> <th abbr="Nap=A">Napsin-A </th> <th>TTF-1 </th> <th>P40 </th></tr> <tr> <td>鳞狀上皮癌 </td> <td>阴性 </td> <td>阴性 </td> <td>阳性 </td></tr> <tr> <td>腺癌 </td> <td>阳性 </td> <td>阳性 </td> <td>阴性 </td></tr> <tr> <td>小細胞癌 </td> <td>阴性 </td> <td>阳性 </td> <td>阴性 </td></tr></tbody></table> <p>肺部為身體其他腫瘤常見的轉移位置。继发性肿瘤可根据其原发部位分类,如扩散到肺部的乳腺癌被称为转移性乳腺癌。转移性肿瘤在胸片中常显示为典型的圆形<sup id="cite_ref-Seo_79-0" class="reference"><a href="#cite_note-Seo-79"><span class="cite-bracket">&#91;</span>79<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>而原发性肺癌本身最常见的转移部位是脑、骨、肝脏和<a href="/wiki/%E8%82%BE%E4%B8%8A%E8%85%BA" class="mw-redirect" title="肾上腺">肾上腺</a><sup id="cite_ref-Holland-Frei78_8-10" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。对活检组织进行<a href="/wiki/%E5%85%8D%E7%96%AB%E6%9F%93%E8%89%B2" title="免疫染色">免疫染色</a>通常有助于确定癌症原发部位<sup id="cite_ref-pmid18784820_80-0" class="reference"><a href="#cite_note-pmid18784820-80"><span class="cite-bracket">&#91;</span>80<span class="cite-bracket">&#93;</span></a></sup>。若腫瘤細胞出現<span class="ilh-all" data-orig-title="Napsin-A" data-lang-code="en" data-lang-name="英语" data-foreign-title="Napsin-A"><span class="ilh-page"><a href="/w/index.php?title=Napsin-A&amp;action=edit&amp;redlink=1" class="new" title="Napsin-A(页面不存在)">Napsin-A</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Napsin-A" class="extiw" title="en:Napsin-A"><span lang="en" dir="auto">Napsin-A</span></a></span>)</span></span>、<span class="ilh-all" data-orig-title="TTF-1" data-lang-code="en" data-lang-name="英语" data-foreign-title="TTF-1"><span class="ilh-page"><a href="/w/index.php?title=TTF-1&amp;action=edit&amp;redlink=1" class="new" title="TTF-1(页面不存在)">TTF-1</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/TTF-1" class="extiw" title="en:TTF-1"><span lang="en" dir="auto">TTF-1</span></a></span>)</span></span>、CK7和CK20等標記,可以協助確認腫瘤的亞型。如SCLC是源自於神經內分泌細胞,因此可能會表現<a href="/wiki/%E7%A5%9E%E7%B6%93%E5%85%83%E9%BB%8F%E9%99%84%E5%88%86%E5%AD%90" title="神經元黏附分子">CD56</a>、<a href="/wiki/%E7%A5%9E%E7%B6%93%E5%85%83%E9%BB%8F%E9%99%84%E5%88%86%E5%AD%90" title="神經元黏附分子">神經元黏附分子</a>、<a href="/wiki/%E7%AA%81%E8%A7%B8%E7%B4%A0" title="突觸素">突觸素</a>,或<span class="ilh-all" data-orig-title="嗜鉻粒蛋白" data-lang-code="en" data-lang-name="英语" data-foreign-title="chromogranin"><span class="ilh-page"><a href="/w/index.php?title=%E5%97%9C%E9%89%BB%E7%B2%92%E8%9B%8B%E7%99%BD&amp;action=edit&amp;redlink=1" class="new" title="嗜鉻粒蛋白(页面不存在)">嗜鉻粒蛋白</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/chromogranin" class="extiw" title="en:chromogranin"><span lang="en" dir="auto">chromogranin</span></a></span>)</span></span>等等<sup id="cite_ref-Harrison_3-13" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="分期"><span id=".E5.88.86.E6.9C.9F"></span>分期</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=16" title="编辑章节:分期"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r85100532"><div role="note" class="hatnote navigation-not-searchable">参见:<a href="/wiki/%E8%82%BA%E7%99%8C%E5%88%86%E6%9C%9F" title="肺癌分期">肺癌分期</a></div> <p><a href="/wiki/%E7%99%8C%E7%97%87%E5%88%86%E6%9C%9F" title="癌症分期">癌症分期</a>是对其从原发部位扩散的程度进行评价<sup id="cite_ref-Holland-Frei2_81-0" class="reference"><a href="#cite_note-Holland-Frei2-81"><span class="cite-bracket">&#91;</span>81<span class="cite-bracket">&#93;</span></a></sup>,是影响肺癌<a href="/wiki/%E9%A2%84%E5%90%8E" title="预后">预后</a>和潜在治疗措施的因素之一<sup id="cite_ref-Harrison_3-14" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Holland-Frei2_81-1" class="reference"><a href="#cite_note-Holland-Frei2-81"><span class="cite-bracket">&#91;</span>81<span class="cite-bracket">&#93;</span></a></sup>。最初对非小细胞肺癌的分期评估使用的是<span class="ilh-all" data-orig-title="TNM分期法" data-lang-code="en" data-lang-name="英语" data-foreign-title="TNM staging system"><span class="ilh-page"><a href="/w/index.php?title=TNM%E5%88%86%E6%9C%9F%E6%B3%95&amp;action=edit&amp;redlink=1" class="new" title="TNM分期法(页面不存在)">TNM分期法</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/TNM_staging_system" class="extiw" title="en:TNM staging system"><span lang="en" dir="auto">TNM staging system</span></a></span>)</span></span>。是基于原发肿瘤(<b>T</b>umor)的大小,是否累及淋巴结(lymph <b>N</b>ode)及有否远处转移(<b>M</b>etastasis)<sup id="cite_ref-Harrison_3-15" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p> <table class="wikitable" style="text-align:center;font-size:90%;margin-left:1em;background:#E5AFAA;"> <caption>肺癌的TNM分期法(AJCC第八版)<sup id="cite_ref-AJCC8_82-0" class="reference"><a href="#cite_note-AJCC8-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr> <td> <table class="wikitable"> <tbody><tr> <th colspan="3">T:原发性肿瘤 </th></tr> <tr> <td rowspan="2">TX </td> <td rowspan="2">任何的: </td> <td>無法評估 </td></tr> <tr> <td>肿瘤细胞存在于痰或支气管洗出液中,但在成像或支气管镜检查中没有发现肿瘤 </td></tr> <tr> <td>T0 </td> <td colspan="2">无原发肿瘤依据 </td></tr> <tr> <td>Tis </td> <td colspan="2"><a href="/wiki/%E5%8E%9F%E4%BD%8D%E7%99%8C" title="原位癌">原位癌</a> </td></tr> <tr> <td>T1 </td> <td colspan="2">腫瘤小於三公分,且腫瘤未侵犯至其他週邊組織、臟層胸膜。 </td></tr> <tr> <td rowspan="3">T1a </td> <td colspan="2">腫瘤不大於1公分( ≤1 cm) </td></tr> <tr> <td colspan="2">位於中心氣道表面的腫瘤。大小不限,只要三公分以下都歸於此類,但腫瘤僅限於氣管及支氣管壁。 </td></tr> <tr> <td colspan="2">微侵犯的腺癌 </td></tr> <tr> <td>T1b </td> <td colspan="2">腫瘤大於1公分( &gt;1 cm),但不大於2公分( ≤2 cm) </td></tr> <tr> <td>T1c </td> <td colspan="2">腫瘤大於2公分( &gt;2 cm),但不大於3公分( ≤3 cm) </td></tr> <tr> <td rowspan="3">T2 </td> <td rowspan="3">任何的: </td> <td>腫瘤大於3公分( &gt;3 cm),但不大於5公分( ≤5 cm) </td></tr> <tr> <td>腫瘤進犯臟層<a href="/wiki/%E8%83%B8%E8%86%9C" title="胸膜">胸膜</a> </td></tr> <tr> <td>因腫瘤引起肺塌陷或阻塞性肺炎,影像上延伸至肺門。 </td></tr> <tr> <td>T2a </td> <td colspan="2">腫瘤大於3公分( &gt;3 cm),但不大於4公分( ≤4 cm) </td></tr> <tr> <td>T2b </td> <td colspan="2">腫瘤大於4公分( &gt;4 cm),但不大於5公分( ≤5 cm) </td></tr> <tr> <td rowspan="3">T3 </td> <td rowspan="3">任何的: </td> <td>腫瘤大於5公分( &gt;5 cm),但不大於7公分( ≤5 cm) </td></tr> <tr> <td>腫瘤進犯胸壁、<a href="/wiki/%E5%BF%83%E5%8C%85" title="心包">心包</a>、膈神經 </td></tr> <tr> <td>單一肺葉有超過一顆獨立結節 </td></tr> <tr> <td rowspan="2">T4 </td> <td rowspan="2">任何的: </td> <td>腫瘤侵犯至<a href="/wiki/%E7%B8%B1%E9%9A%94%E8%85%94" class="mw-redirect" title="縱隔腔">縱隔腔</a>、<a href="/wiki/%E6%A9%AB%E8%86%88" class="mw-redirect" title="橫膈">橫膈</a>、心臟、大血管、<a href="/wiki/%E5%96%89%E8%BF%94%E7%A5%9E%E7%B6%93" title="喉返神經">喉返神經</a>、氣管隆凸(Carina)、<a href="/wiki/%E6%B0%A3%E7%AE%A1" title="氣管">氣管</a>、食道、<a href="/wiki/%E8%84%8A%E9%AB%93%E6%90%8D%E5%82%B7" title="脊髓損傷">脊椎骨</a> </td></tr> <tr> <td>腫瘤細胞同時出現於同側不同肺葉 </td></tr></tbody></table> </td> <td style="vertical-align:top;"> <table class="wikitable"> <tbody><tr> <th colspan="2">N:淋巴结 </th></tr> <tr> <td>NX </td> <td>区域淋巴结,且無法評估 </td></tr> <tr> <td>N0 </td> <td>無周邊淋巴結侵犯、轉移 </td></tr> <tr> <td>N1 </td> <td><a href="/wiki/%E8%85%AB%E7%98%A4" class="mw-redirect" title="腫瘤">腫瘤</a>侵犯或轉移至原發腫瘤同側之支氣管周圍淋巴結、肺內淋巴結或肺門淋巴結。 </td></tr> <tr> <td>N2 </td> <td>腫瘤侵犯或轉移至原發腫瘤同側之縱隔腔淋巴結或氣管隆凸下淋巴結。 </td></tr> <tr> <td>N3 </td> <td>腫瘤侵犯或轉移至原發腫瘤對側之縱隔腔或肺門淋巴結,或有無論同對側的鎖骨上淋巴結轉移。 </td></tr></tbody></table> <table class="wikitable" style="width: 100%"> <tbody><tr> <th colspan="3">M:转移 </th></tr> <tr> <td>MX </td> <td colspan="2">無法評估 </td></tr> <tr> <td>M0 </td> <td colspan="2">無遠端轉移 </td></tr> <tr> <td rowspan="3">M1a </td> <td rowspan="3">任何的: </td> <td>對側肺獨立結節 </td></tr> <tr> <td>肋膜獨立結節 </td></tr> <tr> <td>有惡性腫瘤引致的肋膜積液、心包積液 </td></tr> <tr> <td>M1b </td> <td colspan="2">單一胸外轉移 </td></tr> <tr> <td>M1c </td> <td colspan="2">多重胸外轉移 </td></tr></tbody></table> </td></tr></tbody></table> <p>使用TNM分期系统可将非小細胞肺癌分为隐匿癌、0、IA、IB、IIA、IIB、IIIA、IIIB、IIIC、IVA,和IVB期。这一分期系统可辅助选择治疗措施和评估预后<sup id="cite_ref-Rami-Porta_83-0" class="reference"><a href="#cite_note-Rami-Porta-83"><span class="cite-bracket">&#91;</span>83<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>小细胞肺癌被归入局限期(limited stage,只限于單側胸腔的一半,且能被纳入单一<a href="/wiki/%E6%94%BE%E5%B0%84%E6%B2%BB%E7%96%97" class="mw-redirect" title="放射治疗">放射治疗</a>區域)和广泛期(播散范围更广)<sup id="cite_ref-Harrison_3-16" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。但使用TNM系统进行分类有助于评估其预后<sup id="cite_ref-Rami-Porta_83-1" class="reference"><a href="#cite_note-Rami-Porta-83"><span class="cite-bracket">&#91;</span>83<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>对非小细胞肺癌和小细胞肺癌来说有两种分期评估方法:临床分期和外科手术分期。临床分期在根除性手術之前进行,主要以影像学检查结果(如<a href="/wiki/X%E5%B0%84%E7%BA%BF%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%88%90%E5%83%8F" class="mw-redirect" title="X射线计算机断层成像">CT扫描</a>和<a href="/wiki/%E6%AD%A3%E7%94%B5%E5%AD%90%E5%8F%91%E5%B0%84%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%89%AB%E6%8F%8F" class="mw-redirect" title="正电子发射计算机断层扫描">PET扫描</a>)和组织活检结果为基础。外科手术分期在术中或术后进行,综合考虑手术和临床的结果,包括对胸腔淋巴结的手术取样<sup id="cite_ref-Holland-Frei78_8-11" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。 </p> <table class="wikitable floatleft" style="text-align:center;font-size:90%;margin-left:1em;background:#E5AFAA;"> <caption><b>根據TNM分期法對肺癌患者的分期</b><sup id="cite_ref-AJCC8_82-1" class="reference"><a href="#cite_note-AJCC8-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr> <th>TNM </th> <th><b>期組</b> </th></tr> <tr> <td>T1 N0 M0 </td> <td>IA </td></tr> <tr> <td>T2a N0 M0 </td> <td>IB </td></tr> <tr> <td>T2b N0 M0 </td> <td>IIA </td></tr> <tr> <td>T1-T2 N1 M0 </td> <td rowspan="2">IIB </td></tr> <tr> <td>T3 N0 M0 </td></tr> <tr> <td>T1–T2 N2 M0 </td> <td rowspan="3">IIIA </td></tr> <tr> <td>T3 N1 M0 </td></tr> <tr> <td>T4 N0–N1 M0 </td></tr> <tr> <td>T1-T2 N3 M0 </td> <td rowspan="2">IIIB </td></tr> <tr> <td>T3-T4 N2 M0 </td></tr> <tr> <td>T3-T4 N3 M0 </td> <td>IIIC </td></tr> <tr> <td>M1a-M1b </td> <td>IVA </td></tr> <tr> <td>M1c </td> <td>IVB </td></tr></tbody></table> <p><br /> <br /> </p> <div class="mw-heading mw-heading2"><h2 id="预防"><span id=".E9.A2.84.E9.98.B2"></span>预防</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=17" title="编辑章节:预防"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Pathology_of_the_lung_(cancer).jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/7/75/Pathology_of_the_lung_%28cancer%29.jpg/220px-Pathology_of_the_lung_%28cancer%29.jpg" decoding="async" width="220" height="336" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/75/Pathology_of_the_lung_%28cancer%29.jpg/330px-Pathology_of_the_lung_%28cancer%29.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/75/Pathology_of_the_lung_%28cancer%29.jpg/440px-Pathology_of_the_lung_%28cancer%29.jpg 2x" data-file-width="1768" data-file-height="2700" /></a><figcaption>人類肺部切面,肺上葉的白色團塊為肺癌腫瘤,黑色的部分為抽菸造成的變色</figcaption></figure> <p>避免吸菸和<a href="/wiki/%E6%88%92%E8%8F%B8" class="mw-redirect" title="戒菸">戒菸</a>是有效預防肺癌發生的方法<sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">&#91;</span>84<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="禁菸"><span id=".E7.A6.81.E8.8F.B8"></span>禁菸</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=18" title="编辑章节:禁菸"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r85100532"><div role="note" class="hatnote navigation-not-searchable">参见:<a href="/wiki/%E7%A6%81%E8%8F%B8" class="mw-redirect" title="禁菸">禁菸</a></div> <p>在大多数国家,大部分工业和家用的可致癌物质都已經鑑別出來,並明令規範,但吸菸仍相當普遍。限制吸烟是预防肺癌的首要目标,而戒菸是这个过程中最重要的一环<sup id="cite_ref-85" class="reference"><a href="#cite_note-85"><span class="cite-bracket">&#91;</span>85<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>有更多西方国家通过政策干预来减少在餐馆和工作场所等公共区域的<a href="/wiki/%E8%A2%AB%E5%8A%A8%E5%90%B8%E7%83%9F" class="mw-redirect" title="被动吸烟">被动吸烟</a><sup id="cite_ref-86" class="reference"><a href="#cite_note-86"><span class="cite-bracket">&#91;</span>86<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E4%B8%8D%E4%B8%B9" title="不丹">不丹</a>於2005年起已实行完全禁烟令<sup id="cite_ref-Bhutan_87-0" class="reference"><a href="#cite_note-Bhutan-87"><span class="cite-bracket">&#91;</span>87<span class="cite-bracket">&#93;</span></a></sup>,印度也从2008年10月开始也实行了公共场所禁烟令<sup id="cite_ref-88" class="reference"><a href="#cite_note-88"><span class="cite-bracket">&#91;</span>88<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E4%B8%96%E7%95%8C%E5%8D%AB%E7%94%9F%E7%BB%84%E7%BB%87" title="世界卫生组织">世界卫生组织</a>(WHO)号召各国政府全面禁止菸草广告以防止年轻人沾染,WHO估计在实行这种禁令的国家烟草消费量已减少了至少16%<sup id="cite_ref-AUTOREF10_89-0" class="reference"><a href="#cite_note-AUTOREF10-89"><span class="cite-bracket">&#91;</span>89<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="筛檢"><span id=".E7.AD.9B.E6.AA.A2"></span>筛檢</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=19" title="编辑章节:筛檢"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><span class="ilh-all" data-orig-title="肺癌篩檢" data-lang-code="en" data-lang-name="英语" data-foreign-title="Cancer screening"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E7%99%8C%E7%AF%A9%E6%AA%A2&amp;action=edit&amp;redlink=1" class="new" title="肺癌篩檢(页面不存在)">肺癌篩檢</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Cancer_screening" class="extiw" title="en:Cancer screening"><span lang="en" dir="auto">Cancer screening</span></a></span>)</span></span>乃在没有症状的人群中進行大規模<span class="ilh-all" data-orig-title="医学检查" data-lang-code="en" data-lang-name="英语" data-foreign-title="medical tests"><span class="ilh-page"><a href="/w/index.php?title=%E5%8C%BB%E5%AD%A6%E6%A3%80%E6%9F%A5&amp;action=edit&amp;redlink=1" class="new" title="医学检查(页面不存在)">医学检查</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/medical_tests" class="extiw" title="en:medical tests"><span lang="en" dir="auto">medical tests</span></a></span>)</span></span><sup id="cite_ref-90" class="reference"><a href="#cite_note-90"><span class="cite-bracket">&#91;</span>90<span class="cite-bracket">&#93;</span></a></sup>。对有患肺癌高风险的人群可以通过<a href="/wiki/X%E5%B0%84%E7%BA%BF%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%88%90%E5%83%8F" class="mw-redirect" title="X射线计算机断层成像">電腦斷層</a>来筛查发现癌组织,也使病人有机会早期診斷並治療从而延长寿命<sup id="cite_ref-ACCPandATSfive_71-2" class="reference"><a href="#cite_note-ACCPandATSfive-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Us2016_91-0" class="reference"><a href="#cite_note-Us2016-91"><span class="cite-bracket">&#91;</span>91<span class="cite-bracket">&#93;</span></a></sup>。这种形式的筛查使死于肺癌机率的<span class="ilh-all" data-orig-title="絕對風險減少率" data-lang-code="en" data-lang-name="英语" data-foreign-title="Absolute risk reduction"><span class="ilh-page"><a href="/w/index.php?title=%E7%B5%95%E5%B0%8D%E9%A2%A8%E9%9A%AA%E6%B8%9B%E5%B0%91%E7%8E%87&amp;action=edit&amp;redlink=1" class="new" title="絕對風險減少率(页面不存在)">絕對風險</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Absolute_risk_reduction" class="extiw" title="en:Absolute risk reduction"><span lang="en" dir="auto">Absolute risk reduction</span></a></span>)</span></span>减少了0.3%(<span class="ilh-all" data-orig-title="相對風險減少率" data-lang-code="en" data-lang-name="英语" data-foreign-title="Relative risk reduction"><span class="ilh-page"><a href="/w/index.php?title=%E7%9B%B8%E5%B0%8D%E9%A2%A8%E9%9A%AA%E6%B8%9B%E5%B0%91%E7%8E%87&amp;action=edit&amp;redlink=1" class="new" title="相對風險減少率(页面不存在)">相對風險</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Relative_risk_reduction" class="extiw" title="en:Relative risk reduction"><span lang="en" dir="auto">Relative risk reduction</span></a></span>)</span></span>减少了20%)<sup id="cite_ref-92" class="reference"><a href="#cite_note-92"><span class="cite-bracket">&#91;</span>92<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-93" class="reference"><a href="#cite_note-93"><span class="cite-bracket">&#91;</span>93<span class="cite-bracket">&#93;</span></a></sup> 。高危人群是指那些年龄为55-74岁,抽烟量相当于连续30年每天1盒,而且戒烟不超过15年的人<sup id="cite_ref-ACCPandATSfive_71-3" class="reference"><a href="#cite_note-ACCPandATSfive-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>電腦斷層<span class="ilh-all" data-orig-title="偽陽性率及偽陰性率" data-lang-code="en" data-lang-name="英语" data-foreign-title="False positives and false negatives"><span class="ilh-page"><a href="/w/index.php?title=%E5%81%BD%E9%99%BD%E6%80%A7%E7%8E%87%E5%8F%8A%E5%81%BD%E9%99%B0%E6%80%A7%E7%8E%87&amp;action=edit&amp;redlink=1" class="new" title="偽陽性率及偽陰性率(页面不存在)">偽陽性率</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/False_positives_and_false_negatives" class="extiw" title="en:False positives and false negatives"><span lang="en" dir="auto">False positives and false negatives</span></a></span>)</span></span>高,可能导致采取不必要的治疗措施<sup id="cite_ref-Ab2013_94-0" class="reference"><a href="#cite_note-Ab2013-94"><span class="cite-bracket">&#91;</span>94<span class="cite-bracket">&#93;</span></a></sup>。被篩檢為陽性者,僅有1/20為偽陰性<sup id="cite_ref-95" class="reference"><a href="#cite_note-95"><span class="cite-bracket">&#91;</span>95<span class="cite-bracket">&#93;</span></a></sup>。偽陽性率高所衍生的公衛議題包含會造成額外的<a href="/wiki/%E6%B8%B8%E9%9B%A2%E8%BC%BB%E5%B0%84" title="游離輻射">輻射暴露</a><sup id="cite_ref-Ab2013_94-1" class="reference"><a href="#cite_note-Ab2013-94"><span class="cite-bracket">&#91;</span>94<span class="cite-bracket">&#93;</span></a></sup>,且後續檢查也可能造成不必要的花費<sup id="cite_ref-ACCPandATSfive_71-4" class="reference"><a href="#cite_note-ACCPandATSfive-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup>。目前<span class="ilh-all ilh-blue" data-orig-title="痰液" data-lang-code="en" data-lang-name="英语" data-foreign-title="sputum"><span class="ilh-page"><a href="/wiki/%E7%97%B0%E6%B6%B2" class="mw-redirect" title="痰液">痰液</a></span></span><span class="ilh-all" data-orig-title="細胞病理學" data-lang-code="en" data-lang-name="英语" data-foreign-title="cytopathology"><span class="ilh-page"><a href="/w/index.php?title=%E7%B4%B0%E8%83%9E%E7%97%85%E7%90%86%E5%AD%B8&amp;action=edit&amp;redlink=1" class="new" title="細胞病理學(页面不存在)">細胞篩檢</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/cytopathology" class="extiw" title="en:cytopathology"><span lang="en" dir="auto">cytopathology</span></a></span>)</span></span>和<a href="/wiki/%E8%83%B8%E9%83%A8X%E5%85%89" title="胸部X光">胸部X光</a>等另外兩種篩檢沒有任何已知效益<sup id="cite_ref-Us2016_91-1" class="reference"><a href="#cite_note-Us2016-91"><span class="cite-bracket">&#91;</span>91<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-96" class="reference"><a href="#cite_note-96"><span class="cite-bracket">&#91;</span>96<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><span class="ilh-all" data-orig-title="美国预防服务工作组" data-lang-code="en" data-lang-name="英语" data-foreign-title="United States Preventive Services Task Force"><span class="ilh-page"><a href="/w/index.php?title=%E7%BE%8E%E5%9B%BD%E9%A2%84%E9%98%B2%E6%9C%8D%E5%8A%A1%E5%B7%A5%E4%BD%9C%E7%BB%84&amp;action=edit&amp;redlink=1" class="new" title="美国预防服务工作组(页面不存在)">美国预防服务工作组</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/United_States_Preventive_Services_Task_Force" class="extiw" title="en:United States Preventive Services Task Force"><span lang="en" dir="auto">United States Preventive Services Task Force</span></a></span>)</span></span>(USPSTF)建议年龄介于55-80歲之间,每年抽菸超過20包,且戒菸未超過15年的族群,每年進行低剂量CT肺癌筛檢<sup id="cite_ref-97" class="reference"><a href="#cite_note-97"><span class="cite-bracket">&#91;</span>97<span class="cite-bracket">&#93;</span></a></sup>。但若合併其他健康問題,使提前診斷無法延長預期壽命,或就算診斷也無法進行治療的族群,並不建議常規進行低剂量CT(LDCT)肺癌筛檢<sup id="cite_ref-Moy2014_98-0" class="reference"><a href="#cite_note-Moy2014-98"><span class="cite-bracket">&#91;</span>98<span class="cite-bracket">&#93;</span></a></sup>。2014年,<span class="ilh-all" data-orig-title="英国国家卫生署" data-lang-code="en" data-lang-name="英语" data-foreign-title="National Health Service (England)"><span class="ilh-page"><a href="/w/index.php?title=%E8%8B%B1%E5%9B%BD%E5%9B%BD%E5%AE%B6%E5%8D%AB%E7%94%9F%E7%BD%B2&amp;action=edit&amp;redlink=1" class="new" title="英国国家卫生署(页面不存在)">英国国家卫生署</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/National_Health_Service_(England)" class="extiw" title="en:National Health Service (England)"><span lang="en" dir="auto">National Health Service (England)</span></a></span>)</span></span>重新审查了支持进行CT筛查的证据<sup id="cite_ref-99" class="reference"><a href="#cite_note-99"><span class="cite-bracket">&#91;</span>99<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>臺灣國民健康署建議下列肺癌高風險族群可考慮LDCT篩檢:<sup id="cite_ref-100" class="reference"><a href="#cite_note-100"><span class="cite-bracket">&#91;</span>100<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>年齡介於50-80歲,抽菸史超過30包年之民眾(含戒菸時間未超過15年的民眾)。</li> <li>具有肺癌家族史的民眾(父母、子女或兄弟姊妹罹患肺癌)。</li> <li>有肺部病史者(如肺結核、慢性肺阻塞症)。</li> <li>暴露於氡氣環境,或特定職場環境工作者(如:金屬業、冶礦業、石油化學工業、石綿接觸者或長期暴露在有粉塵、油煙、棉絮、化學物質、放射環境下等)。</li></ul> <div class="mw-heading mw-heading3"><h3 id="其他预防措施"><span id=".E5.85.B6.E4.BB.96.E9.A2.84.E9.98.B2.E6.8E.AA.E6.96.BD"></span>其他预防措施</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=20" title="编辑章节:其他预防措施"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>长期补充<a href="/wiki/%E7%BB%B4%E7%94%9F%E7%B4%A0A" class="mw-redirect" title="维生素A">维生素A</a><sup id="cite_ref-Fabricius_101-0" class="reference"><a href="#cite_note-Fabricius-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-102" class="reference"><a href="#cite_note-102"><span class="cite-bracket">&#91;</span>102<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/%E7%BB%B4%E7%94%9F%E7%B4%A0C" title="维生素C">C</a><sup id="cite_ref-Fabricius_101-1" class="reference"><a href="#cite_note-Fabricius-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/%E7%BB%B4%E7%94%9F%E7%B4%A0D" title="维生素D">D</a><sup id="cite_ref-103" class="reference"><a href="#cite_note-103"><span class="cite-bracket">&#91;</span>103<span class="cite-bracket">&#93;</span></a></sup>或<a href="/wiki/%E7%BB%B4%E7%94%9F%E7%B4%A0E" title="维生素E">E</a><sup id="cite_ref-Fabricius_101-2" class="reference"><a href="#cite_note-Fabricius-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup>并不会降低患肺癌的风险。一些研究表明:饮食中蔬菜和水果比例较高的人患肺癌风险似乎更低<sup id="cite_ref-Alberg_35-2" class="reference"><a href="#cite_note-Alberg-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Key_104-0" class="reference"><a href="#cite_note-Key-104"><span class="cite-bracket">&#91;</span>104<span class="cite-bracket">&#93;</span></a></sup>,但这也可能混杂了其他<span class="ilh-all" data-orig-title="混擾" data-lang-code="en" data-lang-name="英语" data-foreign-title="confounding"><span class="ilh-page"><a href="/w/index.php?title=%E6%B7%B7%E6%93%BE&amp;action=edit&amp;redlink=1" class="new" title="混擾(页面不存在)">混擾因子</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/confounding" class="extiw" title="en:confounding"><span lang="en" dir="auto">confounding</span></a></span>)</span></span>,因為會吃蔬果的人可能會抽菸的比例也較低。目前还未有严谨的调查研究证明饮食和肺癌风险之间有明确关联<sup id="cite_ref-Harrison_3-17" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Key_104-1" class="reference"><a href="#cite_note-Key-104"><span class="cite-bracket">&#91;</span>104<span class="cite-bracket">&#93;</span></a></sup>,但有芸萃分析支持抽菸者如果配合健康飲食可以降低肺癌風險<sup id="cite_ref-105" class="reference"><a href="#cite_note-105"><span class="cite-bracket">&#91;</span>105<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="治療"><span id=".E6.B2.BB.E7.99.82"></span>治療</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=21" title="编辑章节:治療"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>肺癌的治疗取决于癌细胞的类型,<a href="/wiki/%E8%82%BA%E7%99%8C%E5%88%86%E6%9C%9F" title="肺癌分期">扩散程度</a>和病人的身体状况。通常的治疗措施包括:<a href="/wiki/%E5%92%8C%E7%BC%93%E5%8C%BB%E7%96%97" class="mw-redirect" title="和缓医疗">和缓医疗</a><sup id="cite_ref-106" class="reference"><a href="#cite_note-106"><span class="cite-bracket">&#91;</span>106<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/%E6%89%8B%E6%9C%AF" class="mw-redirect" title="手术">手术</a>,<a href="/wiki/%E5%8C%96%E7%96%97" class="mw-redirect" title="化疗">化疗</a>和<a href="/wiki/%E6%94%BE%E7%96%97" class="mw-redirect" title="放疗">放疗</a><sup id="cite_ref-Harrison_3-18" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。对晚期肺癌来说,<span class="ilh-all" data-orig-title="肺癌的標靶治療" data-lang-code="en" data-lang-name="英语" data-foreign-title="Targeted therapy of lung cancer"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E7%99%8C%E7%9A%84%E6%A8%99%E9%9D%B6%E6%B2%BB%E7%99%82&amp;action=edit&amp;redlink=1" class="new" title="肺癌的標靶治療(页面不存在)">標靶治療</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Targeted_therapy_of_lung_cancer" class="extiw" title="en:Targeted therapy of lung cancer"><span lang="en" dir="auto">Targeted therapy of lung cancer</span></a></span>)</span></span>会变得越来越重要。 </p> <div class="mw-heading mw-heading3"><h3 id="手术"><span id=".E6.89.8B.E6.9C.AF"></span>手术</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=22" title="编辑章节:手术"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Lung_cancer.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/2/2d/Lung_cancer.jpg/220px-Lung_cancer.jpg" decoding="async" width="220" height="399" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/2/2d/Lung_cancer.jpg/330px-Lung_cancer.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/2/2d/Lung_cancer.jpg 2x" data-file-width="416" data-file-height="754" /></a><figcaption><span class="ilh-all" data-orig-title="全肺切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="Pneumonectomy"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%A8%E8%82%BA%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="全肺切除术(页面不存在)">全肺切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Pneumonectomy" class="extiw" title="en:Pneumonectomy"><span lang="en" dir="auto">Pneumonectomy</span></a></span>)</span></span>后的标本,白色區域為<a href="/wiki/%E9%B3%9E%E7%8A%B6%E7%BB%86%E8%83%9E%E7%99%8C" title="鳞状细胞癌">鳞状细胞癌</a>,生長於支气管附近。</figcaption></figure> <p>如果确诊为非小细胞肺癌,对其进行<a href="/wiki/%E8%82%BA%E7%99%8C%E5%88%86%E6%9C%9F" title="肺癌分期">分期</a>可确定肺癌病灶是否为局限性、能否手术切除,或是否癌组织已扩散到无法用手术治疗的程度,这可用CT和正电子成像术(<a href="/wiki/%E6%AD%A3%E7%94%B5%E5%AD%90%E5%8F%91%E5%B0%84%E8%AE%A1%E7%AE%97%E6%9C%BA%E6%96%AD%E5%B1%82%E6%89%AB%E6%8F%8F" class="mw-redirect" title="正电子发射计算机断层扫描">PET</a>)扫描来决定<sup id="cite_ref-Harrison_3-19" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。如果怀疑纵膈淋巴结受累可以取样淋巴结从而协助分期。取樣技術包含經胸壁穿刺針吸活檢術(transthoracic needle aspiration)、经支气管针吸活检(transbronchial needle aspiration,可選擇是否要用氣管內視鏡超音波輔助)、<span class="ilh-all" data-orig-title="內視鏡超音波" data-lang-code="en" data-lang-name="英语" data-foreign-title="endoscopic ultrasound"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%A7%E8%A6%96%E9%8F%A1%E8%B6%85%E9%9F%B3%E6%B3%A2&amp;action=edit&amp;redlink=1" class="new" title="內視鏡超音波(页面不存在)">內視鏡超音波</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/endoscopic_ultrasound" class="extiw" title="en:endoscopic ultrasound"><span lang="en" dir="auto">endoscopic ultrasound</span></a></span>)</span></span>細針抽吸、<span class="ilh-all" data-orig-title="纵膈镜检" data-lang-code="en" data-lang-name="英语" data-foreign-title="mediastinoscopy"><span class="ilh-page"><a href="/w/index.php?title=%E7%BA%B5%E8%86%88%E9%95%9C%E6%A3%80&amp;action=edit&amp;redlink=1" class="new" title="纵膈镜检(页面不存在)">纵膈镜检</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/mediastinoscopy" class="extiw" title="en:mediastinoscopy"><span lang="en" dir="auto">mediastinoscopy</span></a></span>)</span></span>、<a href="/wiki/%E8%83%B8%E8%85%94%E9%8F%A1" title="胸腔鏡">胸腔鏡</a><sup id="cite_ref-107" class="reference"><a href="#cite_note-107"><span class="cite-bracket">&#91;</span>107<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E8%A1%80%E6%B6%B2%E6%A3%80%E6%9F%A5" title="血液检查">血液检查</a>和<span class="ilh-all" data-orig-title="肺功能检查" data-lang-code="en" data-lang-name="英语" data-foreign-title="pulmonary function testing"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5&amp;action=edit&amp;redlink=1" class="new" title="肺功能检查(页面不存在)">肺功能检查</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/pulmonary_function_testing" class="extiw" title="en:pulmonary function testing"><span lang="en" dir="auto">pulmonary function testing</span></a></span>)</span></span>可用于评估病人能否承受手术<sup id="cite_ref-Collins_20-4" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup>。如果肺功能检查发现病人呼气储备量很低可能不会进行手术<sup id="cite_ref-Harrison_3-20" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>对大多数早期的非小细胞肺癌患者手术会选择只切除一个肺叶(<span class="ilh-all" data-orig-title="肺叶切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="lobectomy"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E5%8F%B6%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="肺叶切除术(页面不存在)">肺叶切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/lobectomy" class="extiw" title="en:lobectomy"><span lang="en" dir="auto">lobectomy</span></a></span>)</span></span>)。对于不适合行完整肺叶切除术的病人,可能可沿邊緣將含有腫瘤的三角形區域切除(<span class="ilh-all" data-orig-title="楔形切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="wedge resection"><span class="ilh-page"><a href="/w/index.php?title=%E6%A5%94%E5%BD%A2%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="楔形切除术(页面不存在)">楔形切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/wedge_resection" class="extiw" title="en:wedge resection"><span lang="en" dir="auto">wedge resection</span></a></span>)</span></span>)。但是与肺叶切除术相比楔形切除术术后更易复发<sup id="cite_ref-Fishman1855_108-0" class="reference"><a href="#cite_note-Fishman1855-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup>。在楔形切除部位的边缘进行<a href="/wiki/%E8%BF%91%E8%B7%9D%E7%A6%BB%E6%B2%BB%E7%96%97" title="近距离治疗">近距离</a>放射<a href="/wiki/%E7%A2%98" title="碘">碘</a>治療(Radioactive iodine brachytherapy)可能会降低复发的风险<sup id="cite_ref-109" class="reference"><a href="#cite_note-109"><span class="cite-bracket">&#91;</span>109<span class="cite-bracket">&#93;</span></a></sup>。僅有在相當罕見的情況下才會進行<span class="ilh-all" data-orig-title="全肺切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="pneumonectomy"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%A8%E8%82%BA%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="全肺切除术(页面不存在)">全肺切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/pneumonectomy" class="extiw" title="en:pneumonectomy"><span lang="en" dir="auto">pneumonectomy</span></a></span>)</span></span><sup id="cite_ref-110" class="reference"><a href="#cite_note-110"><span class="cite-bracket">&#91;</span>110<span class="cite-bracket">&#93;</span></a></sup>。<span class="ilh-all" data-orig-title="电视辅助胸腔镜手术" data-lang-code="en" data-lang-name="英语" data-foreign-title="Video-assisted thoracoscopic surgery"><span class="ilh-page"><a href="/w/index.php?title=%E7%94%B5%E8%A7%86%E8%BE%85%E5%8A%A9%E8%83%B8%E8%85%94%E9%95%9C%E6%89%8B%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="电视辅助胸腔镜手术(页面不存在)">电视辅助胸腔镜手术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Video-assisted_thoracoscopic_surgery" class="extiw" title="en:Video-assisted thoracoscopic surgery"><span lang="en" dir="auto">Video-assisted thoracoscopic surgery</span></a></span>)</span></span>(VATS)和<span class="ilh-all" data-orig-title="VATS肺叶切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="VATS lobectomy"><span class="ilh-page"><a href="/w/index.php?title=VATS%E8%82%BA%E5%8F%B6%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="VATS肺叶切除术(页面不存在)">VATS肺叶切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/VATS_lobectomy" class="extiw" title="en:VATS lobectomy"><span lang="en" dir="auto">VATS lobectomy</span></a></span>)</span></span>使用微创技术对肺癌进行手术治疗<sup id="cite_ref-111" class="reference"><a href="#cite_note-111"><span class="cite-bracket">&#91;</span>111<span class="cite-bracket">&#93;</span></a></sup>。与传统的开放肺叶切除术相比VATS肺叶切除术同样有效且术后并发症更少<sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">&#91;</span>112<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>小细胞肺癌通常使用化疗和/或放疗<sup id="cite_ref-SimonTurrisi_113-0" class="reference"><a href="#cite_note-SimonTurrisi-113"><span class="cite-bracket">&#91;</span>113<span class="cite-bracket">&#93;</span></a></sup>,但是人们正重新考量手术对小细胞肺癌的作用。對於沒有遠端轉移且無進犯縱膈者,可以先以外科手術切除,再進行輔助性化療<sup id="cite_ref-NCCN2018_114-0" class="reference"><a href="#cite_note-NCCN2018-114"><span class="cite-bracket">&#91;</span>114<span class="cite-bracket">&#93;</span></a></sup>。而對於已經進犯縱膈腔者,則建議先以化放療作為初始治療<sup id="cite_ref-NCCN2018_114-1" class="reference"><a href="#cite_note-NCCN2018-114"><span class="cite-bracket">&#91;</span>114<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="放疗"><span id=".E6.94.BE.E7.96.97"></span>放疗</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=23" title="编辑章节:放疗"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size mw-halign-left" typeof="mw:File/Thumb"><a href="/wiki/File:Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/16/Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg/220px-Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg.png" decoding="async" width="220" height="253" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/16/Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg/330px-Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/16/Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg/440px-Diagram_showing_how_you_have_internal_radiotherapy_for_lung_cancer_CRUK_160_zh.svg.png 2x" data-file-width="351" data-file-height="403" /></a><figcaption>气道内近距离治疗</figcaption></figure><p>化疗通常和<a href="/wiki/%E6%94%BE%E7%96%97" class="mw-redirect" title="放疗">放疗</a>同时进行,对于不符合手术条件的非小细胞肺癌患者,放疗也可用于根治性治疗。这种高强度的放疗被称为根治性放疗<sup id="cite_ref-OTO_115-0" class="reference"><a href="#cite_note-OTO-115"><span class="cite-bracket">&#91;</span>115<span class="cite-bracket">&#93;</span></a></sup>。连续超分割加速放疗(CHART)是对根治性放疗的改进,它在短时间内给予患者大剂量的放疗<sup id="cite_ref-116" class="reference"><a href="#cite_note-116"><span class="cite-bracket">&#91;</span>116<span class="cite-bracket">&#93;</span></a></sup>。非小细胞肺癌行治疗目的的手术后一般不應進行胸部放疗<sup id="cite_ref-PORT_Meta-analysis_Trialists_Group_117-0" class="reference"><a href="#cite_note-PORT_Meta-analysis_Trialists_Group-117"><span class="cite-bracket">&#91;</span>117<span class="cite-bracket">&#93;</span></a></sup>,但对有纵膈N2淋巴结累及的一些患者来说术后放疗可能有好处<sup id="cite_ref-118" class="reference"><a href="#cite_note-118"><span class="cite-bracket">&#91;</span>118<span class="cite-bracket">&#93;</span></a></sup>。对可能治癒的小细胞肺癌患者化疗之外通常建议进行胸部放疗<sup id="cite_ref-Holland-Frei78_8-12" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>如果癌组织堵塞了一小段支气管,可以在气道内用<a href="/wiki/%E8%BF%91%E8%B7%9D%E7%A6%BB%E6%B2%BB%E7%96%97" title="近距离治疗">近距离治疗</a>(局部放疗)直接打通。和体外放射治疗相比,近距离治疗可减少治疗时间,也可减少对医护人员的射线照射量<sup id="cite_ref-119" class="reference"><a href="#cite_note-119"><span class="cite-bracket">&#91;</span>119<span class="cite-bracket">&#93;</span></a></sup>。然而目前近距離治療的相關治療證據,仍比傳統的体外放射治疗要少<sup id="cite_ref-120" class="reference"><a href="#cite_note-120"><span class="cite-bracket">&#91;</span>120<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><span class="ilh-all" data-orig-title="预防性颅脑照射" data-lang-code="en" data-lang-name="英语" data-foreign-title="Prophylactic cranial irradiation"><span class="ilh-page"><a href="/w/index.php?title=%E9%A2%84%E9%98%B2%E6%80%A7%E9%A2%85%E8%84%91%E7%85%A7%E5%B0%84&amp;action=edit&amp;redlink=1" class="new" title="预防性颅脑照射(页面不存在)">预防性颅脑照射</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Prophylactic_cranial_irradiation" class="extiw" title="en:Prophylactic cranial irradiation"><span lang="en" dir="auto">Prophylactic cranial irradiation</span></a></span>)</span></span>(PCI)是脑部的一种放疗手段,用于降低肿瘤<a href="/wiki/%E7%99%8C%E7%97%87%E8%BD%AC%E7%A7%BB" class="mw-redirect" title="癌症转移">转移</a>风险,对小细胞肺癌最有用。PCI使局限期肺癌的三年生存率從15%提升至20%,使广泛期肺癌的一年生存率從13%增加至27%<sup id="cite_ref-121" class="reference"><a href="#cite_note-121"><span class="cite-bracket">&#91;</span>121<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>近年来靶向治疗和影像技术的改进使立体定向放疗治疗早期肺癌这一疗法得到发展。这种放疗方法使用立体定向定位技术分几次对病人进行大剂量放疗。这最初用于那些由于某些<a href="/wiki/%E5%90%88%E5%B9%B6%E7%97%87" class="mw-redirect" title="合并症">合并症</a>无法进行手术的患者<sup id="cite_ref-122" class="reference"><a href="#cite_note-122"><span class="cite-bracket">&#91;</span>122<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>对非小细胞肺癌和小细胞肺癌患者来说稍小剂量的胸部放疗可用于控制症状(和緩性放療)<sup id="cite_ref-123" class="reference"><a href="#cite_note-123"><span class="cite-bracket">&#91;</span>123<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E5%B0%84%E9%A0%BB%E6%B6%88%E8%9E%8D%E8%A1%93" class="mw-redirect" title="射頻消融術">射频消融术</a>是一种利用高频<a href="/wiki/%E7%94%B5%E6%B5%81" title="电流">电流</a>来杀死肿瘤细胞的新技术,可以用于肿瘤病灶较小的早期患者或放疗后的复发患者。这是一种创伤较小的治疗手段,较开胸手术而言,可以尽可能多地保护肺功能,适用于无法手术的患者<sup id="cite_ref-Merck_9-10" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="化疗"><span id=".E5.8C.96.E7.96.97"></span>化疗</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=24" title="编辑章节:化疗"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/%E5%8C%96%E7%96%97" class="mw-redirect" title="化疗">化疗</a>方案取决于肿瘤类型<sup id="cite_ref-Holland-Frei78_8-13" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。小细胞肺癌(SCLC)即使在相对早期也主要采用化疗和放疗进行治疗<sup id="cite_ref-124" class="reference"><a href="#cite_note-124"><span class="cite-bracket">&#91;</span>124<span class="cite-bracket">&#93;</span></a></sup>,常用的化疗方案为<a href="/wiki/%E4%BE%9D%E6%89%98%E6%B3%8A%E8%8B%B7" title="依托泊苷">依托泊苷</a>联合一种铂类药物(顺铂或卡铂)<sup id="cite_ref-Murray_125-0" class="reference"><a href="#cite_note-Murray-125"><span class="cite-bracket">&#91;</span>125<span class="cite-bracket">&#93;</span></a></sup>,二者也常和<a href="/wiki/%E5%8D%A1%E9%93%82" title="卡铂">卡铂</a>、<a href="/wiki/%E5%90%89%E8%A5%BF%E4%BB%96%E6%BB%A8" title="吉西他滨">吉西他滨</a>、<a href="/wiki/%E7%B4%AB%E6%9D%89%E9%86%87" title="紫杉醇">紫杉醇</a>、<span class="ilh-all" data-orig-title="长春瑞滨" data-lang-code="en" data-lang-name="英语" data-foreign-title="vinorelbine"><span class="ilh-page"><a href="/w/index.php?title=%E9%95%BF%E6%98%A5%E7%91%9E%E6%BB%A8&amp;action=edit&amp;redlink=1" class="new" title="长春瑞滨(页面不存在)">长春瑞滨</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/vinorelbine" class="extiw" title="en:vinorelbine"><span lang="en" dir="auto">vinorelbine</span></a></span>)</span></span>、<a href="/wiki/%E6%8B%93%E6%89%91%E6%9B%BF%E5%BA%B7" class="mw-redirect" title="拓扑替康">拓扑替康</a>、<a href="/wiki/%E4%BC%8A%E7%AB%8B%E6%9B%BF%E5%BA%B7" class="mw-redirect" title="伊立替康">伊立替康</a>等药物联用<sup id="cite_ref-Azim_126-0" class="reference"><a href="#cite_note-Azim-126"><span class="cite-bracket">&#91;</span>126<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-MacCallum_127-0" class="reference"><a href="#cite_note-MacCallum-127"><span class="cite-bracket">&#91;</span>127<span class="cite-bracket">&#93;</span></a></sup>。对于晚期非小细胞肺癌(NSCLC),如果病人身体可承受,化疗可提高存活率,為第一线治疗手段<sup id="cite_ref-pmid18678835_128-0" class="reference"><a href="#cite_note-pmid18678835-128"><span class="cite-bracket">&#91;</span>128<span class="cite-bracket">&#93;</span></a></sup>,并且通常使用两种药物来治疗,其中一种常为铂类(顺铂或卡铂)。其它常用的化疗药物为:<a href="/wiki/%E5%90%89%E8%A5%BF%E4%BB%96%E6%BB%A8" title="吉西他滨">吉西他滨</a>、<a href="/wiki/%E7%B4%AB%E6%9D%89%E9%86%87" title="紫杉醇">紫杉醇</a>、<a href="/wiki/%E5%A4%9A%E8%A5%BF%E4%BB%96%E8%B5%9B" class="mw-redirect" title="多西他赛">多西他赛</a><sup id="cite_ref-129" class="reference"><a href="#cite_note-129"><span class="cite-bracket">&#91;</span>129<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Clegg_130-0" class="reference"><a href="#cite_note-Clegg-130"><span class="cite-bracket">&#91;</span>130<span class="cite-bracket">&#93;</span></a></sup>、<span class="ilh-all" data-orig-title="培美曲塞" data-lang-code="en" data-lang-name="英语" data-foreign-title="pemetrexed"><span class="ilh-page"><a href="/w/index.php?title=%E5%9F%B9%E7%BE%8E%E6%9B%B2%E5%A1%9E&amp;action=edit&amp;redlink=1" class="new" title="培美曲塞(页面不存在)">培美曲塞</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/pemetrexed" class="extiw" title="en:pemetrexed"><span lang="en" dir="auto">pemetrexed</span></a></span>)</span></span><sup id="cite_ref-pmid20446853_131-0" class="reference"><a href="#cite_note-pmid20446853-131"><span class="cite-bracket">&#91;</span>131<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/%E4%BE%9D%E6%89%98%E6%B3%8A%E8%8B%B7" title="依托泊苷">依托泊苷</a>或<span class="ilh-all" data-orig-title="长春瑞滨" data-lang-code="en" data-lang-name="英语" data-foreign-title="vinorelbine"><span class="ilh-page"><a href="/w/index.php?title=%E9%95%BF%E6%98%A5%E7%91%9E%E6%BB%A8&amp;action=edit&amp;redlink=1" class="new" title="长春瑞滨(页面不存在)">长春瑞滨</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/vinorelbine" class="extiw" title="en:vinorelbine"><span lang="en" dir="auto">vinorelbine</span></a></span>)</span></span><sup id="cite_ref-Clegg_130-1" class="reference"><a href="#cite_note-Clegg-130"><span class="cite-bracket">&#91;</span>130<span class="cite-bracket">&#93;</span></a></sup>。70歲以上的患者如果使用铂类药物進行化療,其產生嚴重副作用的風險會較高<sup id="cite_ref-132" class="reference"><a href="#cite_note-132"><span class="cite-bracket">&#91;</span>132<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><span class="ilh-all" data-orig-title="辅助化疗" data-lang-code="en" data-lang-name="英语" data-foreign-title="Adjuvant therapy"><span class="ilh-page"><a href="/w/index.php?title=%E8%BE%85%E5%8A%A9%E5%8C%96%E7%96%97&amp;action=edit&amp;redlink=1" class="new" title="辅助化疗(页面不存在)">辅助化疗</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Adjuvant_therapy" class="extiw" title="en:Adjuvant therapy"><span lang="en" dir="auto">Adjuvant therapy</span></a></span>)</span></span>是指在進行根除型手术後再实施化疗,目的是提高疗效。对于非小细胞肺癌,手术过程中会在病灶旁<a href="/wiki/%E6%B7%8B%E5%B7%B4%E7%B5%90" title="淋巴結">淋巴结</a>取样以辅助<a href="/wiki/%E8%82%BA%E7%99%8C%E5%88%86%E6%9C%9F" title="肺癌分期">分期</a>。如果确定其为肺癌II或III期,辅助性化疗可以使五年生存率提高4%<sup id="cite_ref-Carbone_133-0" class="reference"><a href="#cite_note-Carbone-133"><span class="cite-bracket">&#91;</span>133<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Le_Chevalier_134-0" class="reference"><a href="#cite_note-Le_Chevalier-134"><span class="cite-bracket">&#91;</span>134<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-135" class="reference"><a href="#cite_note-135"><span class="cite-bracket">&#91;</span>135<span class="cite-bracket">&#93;</span></a></sup> 。与旧的化疗方案相比,长春瑞滨和顺铂联用更有效<sup id="cite_ref-Le_Chevalier_134-1" class="reference"><a href="#cite_note-Le_Chevalier-134"><span class="cite-bracket">&#91;</span>134<span class="cite-bracket">&#93;</span></a></sup>。对IB期肺癌是否应采用辅助性化疗还有争议,因为<a href="/wiki/%E4%B8%B4%E5%BA%8A%E8%AF%95%E9%AA%8C" class="mw-redirect" title="临床试验">临床试验</a>还未证明其可以提高生存率<sup id="cite_ref-136" class="reference"><a href="#cite_note-136"><span class="cite-bracket">&#91;</span>136<span class="cite-bracket">&#93;</span></a></sup>。非小细胞肺癌的癌组织若能手术切除,<span class="ilh-all" data-orig-title="术前化疗" data-lang-code="en" data-lang-name="英语" data-foreign-title="Chemotherapy before surgery"><span class="ilh-page"><a href="/w/index.php?title=%E6%9C%AF%E5%89%8D%E5%8C%96%E7%96%97&amp;action=edit&amp;redlink=1" class="new" title="术前化疗(页面不存在)">术前化疗</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Chemotherapy_before_surgery" class="extiw" title="en:Chemotherapy before surgery"><span lang="en" dir="auto">Chemotherapy before surgery</span></a></span>)</span></span>也能提高疗效<sup id="cite_ref-137" class="reference"><a href="#cite_note-137"><span class="cite-bracket">&#91;</span>137<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-138" class="reference"><a href="#cite_note-138"><span class="cite-bracket">&#91;</span>138<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>在对非小细胞肺癌的治疗中,化疗可能会与和缓医疗联合应用。对晚期病人而言,适当的化疗比单纯的支持性护理更能提高平均存活率,也可以改善生存质量<sup id="cite_ref-pmid7551923_139-0" class="reference"><a href="#cite_note-pmid7551923-139"><span class="cite-bracket">&#91;</span>139<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-140" class="reference"><a href="#cite_note-140"><span class="cite-bracket">&#91;</span>140<span class="cite-bracket">&#93;</span></a></sup>。在和缓医疗的过程中如果病人身体状况允许的话,持續化疗可以使存活时间延长1.5到3个月,也可减轻症状,改善生存质量,且现代化疗药物的效果更好<sup id="cite_ref-pmid11441939_141-0" class="reference"><a href="#cite_note-pmid11441939-141"><span class="cite-bracket">&#91;</span>141<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid12065068_142-0" class="reference"><a href="#cite_note-pmid12065068-142"><span class="cite-bracket">&#91;</span>142<span class="cite-bracket">&#93;</span></a></sup>。非小细胞肺癌<a href="/w/index.php?title=%E8%8A%B8%E8%90%83%E5%88%86%E6%9E%90&amp;action=edit&amp;redlink=1" class="new" title="芸萃分析(页面不存在)">芸萃分析</a>协作小组建议:在晚期非小细胞肺癌的治疗中,如果患者願意而且可忍受就应该考虑进行化疗<sup id="cite_ref-pmid18678835_128-1" class="reference"><a href="#cite_note-pmid18678835-128"><span class="cite-bracket">&#91;</span>128<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid20464750_143-0" class="reference"><a href="#cite_note-pmid20464750-143"><span class="cite-bracket">&#91;</span>143<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="標靶治療"><span id=".E6.A8.99.E9.9D.B6.E6.B2.BB.E7.99.82"></span>標靶治療</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=25" title="编辑章节:標靶治療"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>肺癌、特别是在晚期肺癌的治疗中,有几种<span class="ilh-all" data-orig-title="肺癌的標靶治療" data-lang-code="en" data-lang-name="英语" data-foreign-title="targeted therapy of lung cancer"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E7%99%8C%E7%9A%84%E6%A8%99%E9%9D%B6%E6%B2%BB%E7%99%82&amp;action=edit&amp;redlink=1" class="new" title="肺癌的標靶治療(页面不存在)">以分子路径为靶标的药物</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/targeted_therapy_of_lung_cancer" class="extiw" title="en:targeted therapy of lung cancer"><span lang="en" dir="auto">targeted therapy of lung cancer</span></a></span>)</span></span>可用。<a href="/wiki/%E5%8E%84%E6%B4%9B%E6%9B%BF%E5%B0%BC" title="厄洛替尼">厄洛替尼</a> 、<a href="/wiki/%E5%90%89%E9%9D%9E%E6%9B%BF%E5%B0%BC" title="吉非替尼">吉非替尼</a>,和<a href="/wiki/%E9%98%BF%E6%B3%95%E6%9B%BF%E5%B0%BC" title="阿法替尼">阿法替尼</a>抑制<a href="/wiki/%E8%A1%A8%E7%9A%AE%E7%94%9F%E9%95%BF%E5%9B%A0%E5%AD%90%E5%8F%97%E4%BD%93" title="表皮生长因子受体">表皮生长因子受体</a>中的<a href="/wiki/%E9%85%AA%E6%B0%A8%E9%85%B8%E6%BF%80%E9%85%B6" title="酪氨酸激酶">酪氨酸激酶</a>。<a href="/wiki/%E5%9C%B0%E8%88%92%E5%96%AE%E6%8A%97" title="地舒單抗">Denosumab</a>是針對<a href="/wiki/RANKL" title="RANKL">RANKL</a>的<a href="/wiki/%E5%8D%95%E5%85%8B%E9%9A%86%E6%8A%97%E4%BD%93" title="单克隆抗体">单克隆抗体</a>,本品會與RANKL結合,使其無法激活<a href="/wiki/%E8%9D%95%E9%AA%A8%E7%B4%B0%E8%83%9E" class="mw-redirect" title="蝕骨細胞">蝕骨細胞</a>,对治疗骨转移癌有效<sup id="cite_ref-144" class="reference"><a href="#cite_note-144"><span class="cite-bracket">&#91;</span>144<span class="cite-bracket">&#93;</span></a></sup>。2015年单克隆抗体药物<a href="/wiki/%E5%AE%89%E7%BB%B4%E6%B1%80" class="mw-redirect" title="安维汀">安维汀</a>(贝伐珠单抗)肺癌适应症在中国上市,其通过抑制<a href="/wiki/%E8%82%BF%E7%98%A4" class="mw-redirect" title="肿瘤">肿瘤</a><a href="/wiki/%E8%A1%80%E7%AE%A1%E7%94%9F%E6%88%90" class="mw-redirect" title="血管生成">血管生成</a>来治疗癌症<sup id="cite_ref-145" class="reference"><a href="#cite_note-145"><span class="cite-bracket">&#91;</span>145<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/T%E7%BB%86%E8%83%9E" title="T细胞">T细胞</a>上的<a href="/wiki/%E5%8F%97%E4%BD%93_(%E7%94%9F%E7%89%A9%E5%8C%96%E5%AD%A6)" title="受体 (生物化学)">受体</a><a href="/wiki/CTLA-4" title="CTLA-4">CTLA-4</a>会抑制免疫系统,有些癌細胞便會依此機制來逃脫免疫系統的偵查。<span class="ilh-all" data-orig-title="伊匹单抗" data-lang-code="en" data-lang-name="英语" data-foreign-title="Ipilimumab"><span class="ilh-page"><a href="/w/index.php?title=%E4%BC%8A%E5%8C%B9%E5%8D%95%E6%8A%97&amp;action=edit&amp;redlink=1" class="new" title="伊匹单抗(页面不存在)">伊匹单抗</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Ipilimumab" class="extiw" title="en:Ipilimumab"><span lang="en" dir="auto">Ipilimumab</span></a></span>)</span></span>(Ipilimumab)會抑制CTLA-4,藉此來阻断其<a href="/wiki/%E8%A8%8A%E6%81%AF%E5%82%B3%E9%81%9E_(%E7%94%9F%E7%89%A9)" title="訊息傳遞 (生物)">信号传导</a>,減少癌細胞逃脫的機會,<a href="/wiki/%E7%BE%8E%E5%9B%BD%E9%A3%9F%E5%93%81%E8%8D%AF%E5%93%81%E7%9B%91%E7%9D%A3%E7%AE%A1%E7%90%86%E5%B1%80" title="美国食品药品监督管理局">FDA</a>已批准其用于治疗<a href="/wiki/%E9%BB%91%E8%89%B2%E7%B4%A0%E7%98%A4" title="黑色素瘤">黑色素瘤</a>。目前有第三期試驗顯示伊匹单抗與<span class="ilh-all" data-orig-title="保疾伏" data-lang-code="en" data-lang-name="英语" data-foreign-title="nivolumab"><span class="ilh-page"><a href="/w/index.php?title=%E4%BF%9D%E7%96%BE%E4%BC%8F&amp;action=edit&amp;redlink=1" class="new" title="保疾伏(页面不存在)">保疾伏</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/nivolumab" class="extiw" title="en:nivolumab"><span lang="en" dir="auto">nivolumab</span></a></span>)</span></span>(nivolumab)併用可以延長非小细胞肺癌的存活期<sup id="cite_ref-146" class="reference"><a href="#cite_note-146"><span class="cite-bracket">&#91;</span>146<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><span class="ilh-all" data-orig-title="程序性细胞死亡1" data-lang-code="en" data-lang-name="英语" data-foreign-title="programmed cell death 1"><span class="ilh-page"><a href="/w/index.php?title=%E7%A8%8B%E5%BA%8F%E6%80%A7%E7%BB%86%E8%83%9E%E6%AD%BB%E4%BA%A11&amp;action=edit&amp;redlink=1" class="new" title="程序性细胞死亡1(页面不存在)">程序性细胞死亡1</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/programmed_cell_death_1" class="extiw" title="en:programmed cell death 1"><span lang="en" dir="auto">programmed cell death 1</span></a></span>)</span></span>蛋白(PD-1)传导的信号可使T细胞失活,一些癌细胞會表达PD-L1,使T细胞無法作用。因此有些藥物藉由抑制PD-1与其<a href="/wiki/%E9%85%8D%E4%BD%93_(%E7%94%9F%E7%89%A9%E5%8C%96%E5%AD%A6)" class="mw-redirect" title="配体 (生物化学)">配体</a><a href="/wiki/PD-1%E9%85%8D%E4%BD%931" class="mw-redirect" title="PD-1配体1">PD-1配体1</a>(PD-L1)来发挥疗效,此類藥物已被批准作為某些肺癌的前幾線藥物<sup id="cite_ref-Syn2017_147-0" class="reference"><a href="#cite_note-Syn2017-147"><span class="cite-bracket">&#91;</span>147<span class="cite-bracket">&#93;</span></a></sup>。PD-1因此可使用PD-1和PD-L1的单克隆抗体來對況這些癌細胞。此類藥物包含<a href="/wiki/%E6%B4%BE%E5%A7%86%E5%8D%95%E6%8A%97" class="mw-redirect" title="派姆单抗">派姆单抗</a>(pembrolizumab)、<span class="ilh-all" data-orig-title="保疾伏" data-lang-code="en" data-lang-name="英语" data-foreign-title="nivolumab"><span class="ilh-page"><a href="/w/index.php?title=%E4%BF%9D%E7%96%BE%E4%BC%8F&amp;action=edit&amp;redlink=1" class="new" title="保疾伏(页面不存在)">保疾伏</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/nivolumab" class="extiw" title="en:nivolumab"><span lang="en" dir="auto">nivolumab</span></a></span>)</span></span><sup id="cite_ref-Powell_2013_67-1" class="reference"><a href="#cite_note-Powell_2013-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup>、癌自禦(atezolizumab)<sup id="cite_ref-148" class="reference"><a href="#cite_note-148"><span class="cite-bracket">&#91;</span>148<span class="cite-bracket">&#93;</span></a></sup>,以及<span class="ilh-all" data-orig-title="度伐魯單抗" data-lang-code="en" data-lang-name="英语" data-foreign-title="durvalumab"><span class="ilh-page"><a href="/w/index.php?title=%E5%BA%A6%E4%BC%90%E9%AD%AF%E5%96%AE%E6%8A%97&amp;action=edit&amp;redlink=1" class="new" title="度伐魯單抗(页面不存在)">度伐魯單抗</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/durvalumab" class="extiw" title="en:durvalumab"><span lang="en" dir="auto">durvalumab</span></a></span>)</span></span>(durvalumab)等等<sup id="cite_ref-Syn2017_147-1" class="reference"><a href="#cite_note-Syn2017-147"><span class="cite-bracket">&#91;</span>147<span class="cite-bracket">&#93;</span></a></sup>,相關的临床试验目前正在进行<sup id="cite_ref-Syn2017_147-2" class="reference"><a href="#cite_note-Syn2017-147"><span class="cite-bracket">&#91;</span>147<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>有些肺癌患者已对表皮生长因子受体(EGFR)和<span class="ilh-all" data-orig-title="间变性淋巴瘤激酶" data-lang-code="en" data-lang-name="英语" data-foreign-title="anaplastic lymphoma kinase"><span class="ilh-page"><a href="/w/index.php?title=%E9%97%B4%E5%8F%98%E6%80%A7%E6%B7%8B%E5%B7%B4%E7%98%A4%E6%BF%80%E9%85%B6&amp;action=edit&amp;redlink=1" class="new" title="间变性淋巴瘤激酶(页面不存在)">间变性淋巴瘤激酶</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/anaplastic_lymphoma_kinase" class="extiw" title="en:anaplastic lymphoma kinase"><span lang="en" dir="auto">anaplastic lymphoma kinase</span></a></span>)</span></span>(ALK)的<span class="ilh-all" data-orig-title="酪氨酸激酶抑制剂" data-lang-code="en" data-lang-name="英语" data-foreign-title="Kinase tyrosine-based inhibitory motif"><span class="ilh-page"><a href="/wiki/%E9%85%AA%E6%B0%A8%E9%85%B8%E6%BF%80%E9%85%B6%E6%8A%91%E5%88%B6%E5%8A%91" title="酪氨酸激酶抑制劑">酪氨酸激酶抑制剂</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Kinase_tyrosine-based_inhibitory_motif" class="extiw" title="en:Kinase tyrosine-based inhibitory motif"><span lang="en" dir="auto">Kinase tyrosine-based inhibitory motif</span></a></span>)</span></span>產生耐受性,故有些新药正在開發中。新的EGFR抑制剂包括<a href="/wiki/%E9%98%BF%E6%B3%95%E6%9B%BF%E5%B0%BC" title="阿法替尼">阿法替尼</a>和<span class="ilh-all" data-orig-title="達科米替尼" data-lang-code="en" data-lang-name="英语" data-foreign-title="Dacomitinib"><span class="ilh-page"><a href="/w/index.php?title=%E9%81%94%E7%A7%91%E7%B1%B3%E6%9B%BF%E5%B0%BC&amp;action=edit&amp;redlink=1" class="new" title="達科米替尼(页面不存在)">達科米替尼</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Dacomitinib" class="extiw" title="en:Dacomitinib"><span lang="en" dir="auto">Dacomitinib</span></a></span>)</span></span>。新的ALK抑制剂包括<span class="ilh-all" data-orig-title="克里唑替尼" data-lang-code="en" data-lang-name="英语" data-foreign-title="crizotinib"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%8B%E9%87%8C%E5%94%91%E6%9B%BF%E5%B0%BC&amp;action=edit&amp;redlink=1" class="new" title="克里唑替尼(页面不存在)">克里唑替尼</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/crizotinib" class="extiw" title="en:crizotinib"><span lang="en" dir="auto">crizotinib</span></a></span>)</span></span>(crizotinib)和<span class="ilh-all" data-orig-title="色瑞替尼" data-lang-code="en" data-lang-name="英语" data-foreign-title="ceritinib"><span class="ilh-page"><a href="/w/index.php?title=%E8%89%B2%E7%91%9E%E6%9B%BF%E5%B0%BC&amp;action=edit&amp;redlink=1" class="new" title="色瑞替尼(页面不存在)">色瑞替尼</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/ceritinib" class="extiw" title="en:ceritinib"><span lang="en" dir="auto">ceritinib</span></a></span>)</span></span>(ceritinib)<sup id="cite_ref-149" class="reference"><a href="#cite_note-149"><span class="cite-bracket">&#91;</span>149<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="支氣管鏡"><span id=".E6.94.AF.E6.B0.A3.E7.AE.A1.E9.8F.A1"></span>支氣管鏡</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=26" title="编辑章节:支氣管鏡"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>對於氣道阻塞或流血的病人,有數種治療可透過支氣管鏡進行。如果氣管遭到腫瘤堵塞者,可以選擇的治療包含硬式支氣管鏡(rigid bronchoscopy)、支氣管內氣囊擴張和成形術(balloon bronchoplasty)、支架置放術,以及微型輕創術(microdebridement)等等<sup id="cite_ref-150" class="reference"><a href="#cite_note-150"><span class="cite-bracket">&#91;</span>150<span class="cite-bracket">&#93;</span></a></sup>。雷射燒灼術(Laser photosection)則需藉由支氣管鏡讓雷射進入氣道,並將堵塞的腫瘤移除<sup id="cite_ref-151" class="reference"><a href="#cite_note-151"><span class="cite-bracket">&#91;</span>151<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading3"><h3 id="和缓医疗"><span id=".E5.92.8C.E7.BC.93.E5.8C.BB.E7.96.97"></span>和缓医疗</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=27" title="编辑章节:和缓医疗"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/%E5%92%8C%E7%BC%93%E5%8C%BB%E7%96%97" class="mw-redirect" title="和缓医疗">和缓医疗</a>能提升患者在治療期間的生活品質。即使正在進行常規化疗的患者,合併給予和緩醫療也有助益<sup id="cite_ref-152" class="reference"><a href="#cite_note-152"><span class="cite-bracket">&#91;</span>152<span class="cite-bracket">&#93;</span></a></sup>。和緩醫療也能夠給予患者和醫師雙方一段過渡期,以避免情急之下做出無法反悔的決定<sup id="cite_ref-pmid20818881_153-0" class="reference"><a href="#cite_note-pmid20818881-153"><span class="cite-bracket">&#91;</span>153<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid19856592_154-0" class="reference"><a href="#cite_note-pmid19856592-154"><span class="cite-bracket">&#91;</span>154<span class="cite-bracket">&#93;</span></a></sup> 。和緩醫療並不只用於生命垂危之際,在整个病程中,和缓医疗都可以避免无用但昂贵的治疗措施。对那些癌症晚期的病人,則建議轉由<a href="/wiki/%E5%AE%89%E5%AE%81%E7%97%85%E6%88%BF" class="mw-redirect" title="安宁病房">安宁病房</a>進行安寧療護<sup id="cite_ref-Collins_20-5" class="reference"><a href="#cite_note-Collins-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid19856592_154-1" class="reference"><a href="#cite_note-pmid19856592-154"><span class="cite-bracket">&#91;</span>154<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="预后"><span id=".E9.A2.84.E5.90.8E"></span>预后</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=28" title="编辑章节:预后"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <table class="wikitable floatright" style="text-align:center;font-size:90%;width:35%;margin-left:1em"> <caption style="background:#E5AFAA;">根据肺癌临床分期的治疗结果(AJCC第七版)<sup id="cite_ref-Rami-Porta_83-2" class="reference"><a href="#cite_note-Rami-Porta-83"><span class="cite-bracket">&#91;</span>83<span class="cite-bracket">&#93;</span></a></sup> </caption> <tbody><tr style="background: #E5AFAA;text-align:center;font-size:90%;"> <th abbr="Type" rowspan="2">临床分期 </th> <th abbr="5-year" colspan="2">五年以上存活率(%) </th></tr> <tr style="background: #E5AFAA;text-align:center;font-size:90%;"> <th abbr="NSCLC">非小细胞肺癌 </th> <th abbr="SCLC">小细胞肺癌 </th></tr> <tr> <td>IA </td> <td>50 </td> <td>38 </td></tr> <tr> <td>IB </td> <td>47 </td> <td>21 </td></tr> <tr> <td>IIA </td> <td>36 </td> <td>38 </td></tr> <tr> <td>IIB </td> <td>26 </td> <td>18 </td></tr> <tr> <td>IIIA </td> <td>19 </td> <td>13 </td></tr> <tr> <td>IIIB </td> <td>7 </td> <td>9 </td></tr> <tr> <td>IV </td> <td>2 </td> <td>1 </td></tr></tbody></table> <p>美国所有肺癌患者中16.8%确诊后存活了至少5年<sup id="cite_ref-SEER_4-4" class="reference"><a href="#cite_note-SEER-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-155" class="reference"><a href="#cite_note-155"><span class="cite-bracket">&#91;</span>155<span class="cite-bracket">&#93;</span></a></sup>。在<a href="/wiki/%E8%8B%B1%E6%A0%BC%E8%98%AD" class="mw-redirect" title="英格蘭">英格蘭</a>和<a href="/wiki/%E5%A8%81%E7%88%BE%E5%A3%AB" class="mw-redirect" title="威爾士">威爾斯</a>2010年到2011年之间肺癌总的五年生存率僅約有9.5%<sup id="cite_ref-156" class="reference"><a href="#cite_note-156"><span class="cite-bracket">&#91;</span>156<span class="cite-bracket">&#93;</span></a></sup>。<a href="/wiki/%E5%8F%91%E5%B1%95%E4%B8%AD%E5%9B%BD%E5%AE%B6" title="发展中国家">发展中国家</a>这一情况更糟糕<sup id="cite_ref-Maj2009_24-1" class="reference"><a href="#cite_note-Maj2009-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup>,确诊时往往已是晚期。就诊时30-40%的非小细胞肺癌已是Ⅳ期,60%的小细胞肺癌也已发展到Ⅳ期<sup id="cite_ref-Holland-Frei78_8-14" class="reference"><a href="#cite_note-Holland-Frei78-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup>。确诊时分期越晚,肺癌患者存活时间越短,英国的数据表明:确诊时处于最早期的病人中70%可以存活至少1年;但对那些确诊时处于最晚期的病人,这一数字下降到只有14%<sup id="cite_ref-157" class="reference"><a href="#cite_note-157"><span class="cite-bracket">&#91;</span>157<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>非小细胞肺癌的预后影响因素包括有无肺部症状、肿瘤大小(&gt;3公分)、细胞类型(<a href="/wiki/%E7%BB%84%E7%BB%87%E5%AD%A6" title="组织学">组织学</a>)、扩散程度(<a href="/wiki/%E7%99%8C%E7%97%87%E5%88%86%E6%9C%9F" title="癌症分期">分期</a>)和是否<a href="/wiki/%E9%81%A0%E7%AB%AF%E8%BD%89%E7%A7%BB" title="遠端轉移">转移</a>到多处<a href="/wiki/%E6%B7%8B%E5%B7%B4%E7%B5%90" title="淋巴結">淋巴结</a>,有无<span class="ilh-all" data-orig-title="血管侵犯" data-lang-code="en" data-lang-name="英语" data-foreign-title="vascular invasion"><span class="ilh-page"><a href="/w/index.php?title=%E8%A1%80%E7%AE%A1%E4%BE%B5%E7%8A%AF&amp;action=edit&amp;redlink=1" class="new" title="血管侵犯(页面不存在)">血管侵犯</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/vascular_invasion" class="extiw" title="en:vascular invasion"><span lang="en" dir="auto">vascular invasion</span></a></span>)</span></span>。不能进行手术的病人中,身体状况差且体重下降超过10%者预后更差<sup id="cite_ref-AUTOREF17_158-0" class="reference"><a href="#cite_note-AUTOREF17-158"><span class="cite-bracket">&#91;</span>158<span class="cite-bracket">&#93;</span></a></sup>。小细胞肺癌的预后影响因素包括:身体状况、性别、癌症分期,还有确诊时癌细胞是否累及<a href="/wiki/%E4%B8%AD%E6%9E%A2%E7%A5%9E%E7%BB%8F%E7%B3%BB%E7%BB%9F" class="mw-redirect" title="中枢神经系统">中枢神经系统</a>或者<a href="/wiki/%E8%82%9D%E8%84%8F" class="mw-redirect" title="肝脏">肝脏</a><sup id="cite_ref-AUTOREF18_159-0" class="reference"><a href="#cite_note-AUTOREF18-159"><span class="cite-bracket">&#91;</span>159<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>对于非小细胞肺癌,若IA期时手术完整切除癌灶预后最好,多达70%患者可存活5年<sup id="cite_ref-OTM_160-0" class="reference"><a href="#cite_note-OTM-160"><span class="cite-bracket">&#91;</span>160<span class="cite-bracket">&#93;</span></a></sup>。小细胞肺癌的五年存活率总共约为5%<sup id="cite_ref-Harrison_3-21" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。晚期小细胞肺癌患者平均五年生存率不到1%。局限期患者的平均生存时间是20个月,五年生存率为20%<sup id="cite_ref-Merck_9-11" class="reference"><a href="#cite_note-Merck-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>根据<a href="/wiki/%E7%BE%8E%E5%9B%BD%E5%9B%BD%E5%AE%B6%E7%99%8C%E7%97%87%E7%A0%94%E7%A9%B6%E6%89%80" class="mw-redirect" title="美国国家癌症研究所">美国国家癌症研究所</a>提供的数据,美国肺癌患者确诊时的年龄中位数为70岁<sup id="cite_ref-161" class="reference"><a href="#cite_note-161"><span class="cite-bracket">&#91;</span>161<span class="cite-bracket">&#93;</span></a></sup>,死亡年龄中位数为72岁<sup id="cite_ref-162" class="reference"><a href="#cite_note-162"><span class="cite-bracket">&#91;</span>162<span class="cite-bracket">&#93;</span></a></sup>;有医疗保险的人可能预后更好<sup id="cite_ref-163" class="reference"><a href="#cite_note-163"><span class="cite-bracket">&#91;</span>163<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="流行病学"><span id=".E6.B5.81.E8.A1.8C.E7.97.85.E5.AD.A6"></span>流行病学</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=29" title="编辑章节:流行病学"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Trachea,_bronchus,_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a3/Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg/290px-Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg.png" decoding="async" width="290" height="128" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a3/Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg/435px-Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a3/Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg/580px-Trachea%2C_bronchus%2C_lung_cancers_world_map-Deaths_per_million_persons-WHO2012.svg.png 2x" data-file-width="940" data-file-height="415" /></a><figcaption>2012年,各國每100万居民死于气管癌、支气管癌、肺癌的年龄标准化数据。 <style data-mw-deduplicate="TemplateStyles:r80540462">.mw-parser-output .refbegin{font-size:90%;margin-bottom:0.5em}.mw-parser-output .refbegin-hanging-indents>ul{margin-left:0}.mw-parser-output .refbegin-hanging-indents>ul>li{margin-left:0;padding-left:3.2em;text-indent:-3.2em}.mw-parser-output .refbegin-hanging-indents ul,.mw-parser-output .refbegin-hanging-indents ul li{list-style:none}@media(max-width:720px){.mw-parser-output .refbegin-hanging-indents>ul>li{padding-left:1.6em;text-indent:-1.6em}}.mw-parser-output .refbegin-columns{margin-top:0.3em}.mw-parser-output .refbegin-columns ul{margin-top:0}.mw-parser-output .refbegin-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .refbegin-100{font-size:100%}</style><div class="refbegin columns references-column-count references-column-count-2" style="-moz-column-count: 2; -webkit-column-count: 2; column-count: 2;"><style data-mw-deduplicate="TemplateStyles:r84565780">.mw-parser-output .legend{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .legend-color{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid var(--border-color-notice,black);color:inherit}.mw-parser-output .legend-color-styled{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid var(--border-color-notice,black);color:inherit}.mw-parser-output .legend-text{}</style><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ffff20; color:black;">&#160;</span>&#160;0–7</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ffe820; color:black;">&#160;</span>&#160;8–12</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ffd820; color:black;">&#160;</span>&#160;13–32</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ffc020; color:black;">&#160;</span>&#160;33–53</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ffa020; color:black;">&#160;</span>&#160;54–81</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#ff9a20; color:black;">&#160;</span>&#160;82–125</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#f08015; color:black;">&#160;</span>&#160;126–286</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#e06815; color:black;">&#160;</span>&#160;287–398</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#d85010; color:black;">&#160;</span>&#160;399–527</div><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84565780"><div class="legend"><span class="legend-color mw-no-invert" style="background-color:#d02010; color:white;">&#160;</span>&#160;528–889</div></div> </figcaption></figure> <figure class="mw-default-size mw-halign-right" typeof="mw:File/Thumb"><a href="/wiki/File:Lung_cancer_US_distribution.gif" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Lung_cancer_US_distribution.gif/220px-Lung_cancer_US_distribution.gif" decoding="async" width="220" height="150" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Lung_cancer_US_distribution.gif/330px-Lung_cancer_US_distribution.gif 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Lung_cancer_US_distribution.gif/440px-Lung_cancer_US_distribution.gif 2x" data-file-width="792" data-file-height="541" /></a><figcaption><a href="/wiki/%E7%BE%8E%E5%9B%BD" title="美国">美国</a>白人男性罹患肺癌的地区分布</figcaption></figure> <figure class="mw-default-size mw-halign-right" typeof="mw:File/Thumb"><a href="/wiki/File:Lung_cancer,_incidence,_mortality_and_survival,_England_1971_-_2011.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b3/Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png/220px-Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png" decoding="async" width="220" height="591" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b3/Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png/330px-Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b3/Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png/440px-Lung_cancer%2C_incidence%2C_mortality_and_survival%2C_England_1971_-_2011.png 2x" data-file-width="700" data-file-height="1880" /></a><figcaption><a href="/wiki/%E8%8B%B1%E5%9B%BD" title="英国">英国</a>1971到2011年间肺癌的发病率、死亡率和存活率</figcaption></figure> <p>肺癌是全球男性最常見的癌症,也是發生率和死亡率最高的癌症。在女性則為發生率第三高的癌症,而死亡率則仅次于<a href="/wiki/%E4%B9%B3%E7%99%8C" title="乳癌">乳癌</a>,居第二位。2012年,全球肺癌新病例數約為182万,同時也有156万例死于肺癌,占了所有因癌症死亡人数的19.4%<sup id="cite_ref-WCR2014Epi_23-1" class="reference"><a href="#cite_note-WCR2014Epi-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup>。肺癌发病率最高的是北美、欧洲和东亚。2012年,超过三分之一的新增患者出现在中国大陸,而非洲和南亚肺癌发病率则要低得多<sup id="cite_ref-164" class="reference"><a href="#cite_note-164"><span class="cite-bracket">&#91;</span>164<span class="cite-bracket">&#93;</span></a></sup>。在英国肺癌是第二大最常见癌症(2011年有大约43,500人被诊断为肺癌),也是癌症致死的最常见病因(2012年大约35,400人死于肺癌)<sup id="cite_ref-165" class="reference"><a href="#cite_note-165"><span class="cite-bracket">&#91;</span>165<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>年龄超过50岁且有吸烟史的人群最可能罹患肺癌。和20多年前就开始下降的男性肺癌死亡率相比,女性的肺癌死亡率在过去数十年來不斷上升,最近才趋于稳定<sup id="cite_ref-AUTOREF22_166-0" class="reference"><a href="#cite_note-AUTOREF22-166"><span class="cite-bracket">&#91;</span>166<span class="cite-bracket">&#93;</span></a></sup>。在美国,男性一生中患肺癌的<a href="/wiki/%E7%B4%AF%E7%A7%AF%E5%8F%91%E7%97%85%E7%8E%87" title="累积发病率">风险</a>是8%,女性是6%<sup id="cite_ref-Harrison_3-22" class="reference"><a href="#cite_note-Harrison-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>據統計,約每抽掉300到400万根香烟,就有一个人死于肺癌<sup id="cite_ref-167" class="reference"><a href="#cite_note-167"><span class="cite-bracket">&#91;</span>167<span class="cite-bracket">&#93;</span></a></sup>。<span class="ilh-all" data-orig-title="五大菸業" data-lang-code="en" data-lang-name="英语" data-foreign-title="Big Tobacco"><span class="ilh-page"><a href="/w/index.php?title=%E4%BA%94%E5%A4%A7%E8%8F%B8%E6%A5%AD&amp;action=edit&amp;redlink=1" class="new" title="五大菸業(页面不存在)">五大菸業</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Big_Tobacco" class="extiw" title="en:Big Tobacco"><span lang="en" dir="auto">Big Tobacco</span></a></span>)</span></span>的影响力在吸烟文化中发挥重要作用<sup id="cite_ref-Lum_168-0" class="reference"><a href="#cite_note-Lum-168"><span class="cite-bracket">&#91;</span>168<span class="cite-bracket">&#93;</span></a></sup>。看到烟草广告的年轻的非吸烟者更有可能开始吸烟<sup id="cite_ref-169" class="reference"><a href="#cite_note-169"><span class="cite-bracket">&#91;</span>169<span class="cite-bracket">&#93;</span></a></sup>。近年來,人们越来越重視<a href="/wiki/%E8%A2%AB%E5%8A%A8%E5%90%B8%E7%83%9F" class="mw-redirect" title="被动吸烟">二手菸</a>在誘發肺癌中的角色<sup id="cite_ref-Taylor_38-1" class="reference"><a href="#cite_note-Taylor-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup>,以致政府进行政策干预以减少非吸烟者不想要的暴露于其他人的烟草烟雾中的几率<sup id="cite_ref-170" class="reference"><a href="#cite_note-170"><span class="cite-bracket">&#91;</span>170<span class="cite-bracket">&#93;</span></a></sup>。汽车、工厂、发电厂排放的废气也造成了潜在的风险<sup id="cite_ref-MurrayNadel52_6-8" class="reference"><a href="#cite_note-MurrayNadel52-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/%E4%B8%9C%E6%AC%A7" title="东欧">东欧</a>男性的肺癌死亡率最高,而北欧和美国女性的肺癌死亡率最高。美国黑人男性和女性的发病率都更高<sup id="cite_ref-171" class="reference"><a href="#cite_note-171"><span class="cite-bracket">&#91;</span>171<span class="cite-bracket">&#93;</span></a></sup>。目前在開發中國家,肺癌的發生率相對較低<sup id="cite_ref-AUTOREF23_172-0" class="reference"><a href="#cite_note-AUTOREF23-172"><span class="cite-bracket">&#91;</span>172<span class="cite-bracket">&#93;</span></a></sup>,但隨著這些國家的吸菸人口逐漸上升,肺癌的發生率在接下來的幾年可能會逐漸上升,特別是中國<sup id="cite_ref-173" class="reference"><a href="#cite_note-173"><span class="cite-bracket">&#91;</span>173<span class="cite-bracket">&#93;</span></a></sup>和印度<sup id="cite_ref-AUTOREF25_174-0" class="reference"><a href="#cite_note-AUTOREF25-174"><span class="cite-bracket">&#91;</span>174<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>在美國,老兵的肺癌發生率較其他族群要高出了25–50%,可能肇因於其抽菸比率較高<sup id="cite_ref-175" class="reference"><a href="#cite_note-175"><span class="cite-bracket">&#91;</span>175<span class="cite-bracket">&#93;</span></a></sup>。也可能是在二戰和韓戰期間暴露於<a href="/wiki/%E7%9F%B3%E6%A3%89" title="石棉">石棉</a>當中,或在越戰中有遭受<a href="/wiki/%E6%A9%98%E5%8A%91" class="mw-redirect" title="橘劑">橘劑</a>暴露<sup id="cite_ref-176" class="reference"><a href="#cite_note-176"><span class="cite-bracket">&#91;</span>176<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>肺癌為英國第三常見的癌症(2014年約有46,400人新診斷肺癌)<sup id="cite_ref-177" class="reference"><a href="#cite_note-177"><span class="cite-bracket">&#91;</span>177<span class="cite-bracket">&#93;</span></a></sup>,且也是最常見的致死癌症(2014年約有35,900人死於肺癌)<sup id="cite_ref-178" class="reference"><a href="#cite_note-178"><span class="cite-bracket">&#91;</span>178<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>在<a href="/wiki/%E4%B8%AD%E5%9B%BD%E5%A4%A7%E9%99%86" title="中国大陆">中国大陆</a>,肺癌确诊后存活过5年的病人不足五分之一,中国大陆采用疗法的普遍有效程度虽然高于<a href="/wiki/%E5%8F%91%E5%B1%95%E4%B8%AD%E5%9B%BD%E5%AE%B6" title="发展中国家">发展中国家</a>的平均水平,但是显著低于<a href="/wiki/%E6%97%A5%E6%9C%AC" title="日本">日本</a>、<a href="/wiki/%E9%9F%A9%E5%9B%BD" class="mw-redirect" title="韩国">韩国</a>等发达国家,而且也低于例如<a href="/wiki/%E4%B9%B3%E7%99%8C" title="乳癌">乳癌</a>、<a href="/wiki/%E7%BB%93%E7%9B%B4%E8%82%A0%E7%99%8C" class="mw-redirect" title="结直肠癌">结直肠癌</a>等其它癌症在中国大陆的疗效水平。<sup id="cite_ref-179" class="reference"><a href="#cite_note-179"><span class="cite-bracket">&#91;</span>179<span class="cite-bracket">&#93;</span></a></sup>。在<a href="/wiki/%E5%8F%B0%E6%B9%BE" class="mw-redirect" title="台湾">台湾</a>,确诊后存活过5年的病人约占总确诊人数的15.9%,其中一半的人能活过13.2个月。<sup id="cite_ref-180" class="reference"><a href="#cite_note-180"><span class="cite-bracket">&#91;</span>180<span class="cite-bracket">&#93;</span></a></sup> </p><p>从1960年代开始,相对于其他类型肺癌,<a href="/wiki/%E8%82%BA%E8%85%BA%E7%99%8C" title="肺腺癌">肺腺癌</a>的发病率开始上升,部分原因是过滤嘴香烟的面世。过滤嘴过滤掉了烟草中的大颗粒物,因此减少了大气道中的沉积物。但是抽烟者必须吸得更深以获得等量的<a href="/wiki/%E5%B0%BC%E5%8F%A4%E4%B8%81" title="尼古丁">尼古丁</a>,因此沉积在小气道的颗粒物就增加了,而小氣道正是肺腺癌易发部位<sup id="cite_ref-Charloux_181-0" class="reference"><a href="#cite_note-Charloux-181"><span class="cite-bracket">&#91;</span>181<span class="cite-bracket">&#93;</span></a></sup>。肺腺癌的发病率还在持续上升<sup id="cite_ref-182" class="reference"><a href="#cite_note-182"><span class="cite-bracket">&#91;</span>182<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="历史"><span id=".E5.8E.86.E5.8F.B2"></span>历史</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=30" title="编辑章节:历史"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>在吸菸普及之前,肺癌其實並不常見;在1761年之前,人们甚至不认为肺癌是一个明确的疾病<sup id="cite_ref-AUTOREF27_183-0" class="reference"><a href="#cite_note-AUTOREF27-183"><span class="cite-bracket">&#91;</span>183<span class="cite-bracket">&#93;</span></a></sup>。肺癌的各个方面在1810年得以详细记述<sup id="cite_ref-AUTOREF28_184-0" class="reference"><a href="#cite_note-AUTOREF28-184"><span class="cite-bracket">&#91;</span>184<span class="cite-bracket">&#93;</span></a></sup>。在1878年,尸检时发现的癌症中恶性肺肿瘤仅占1%,但到20世纪早期,这一比例已上升到10-15%<sup id="cite_ref-Witschi_185-0" class="reference"><a href="#cite_note-Witschi-185"><span class="cite-bracket">&#91;</span>185<span class="cite-bracket">&#93;</span></a></sup>。在1912年,全世界医学文献中的肺癌病例报告只有374例<sup id="cite_ref-AUTOREF29_186-0" class="reference"><a href="#cite_note-AUTOREF29-186"><span class="cite-bracket">&#91;</span>186<span class="cite-bracket">&#93;</span></a></sup>,但是一篇尸检的综述表明肺癌的发病率已经从1852年的0.3%上升到了1952年的5.66%<sup id="cite_ref-Grannis_187-0" class="reference"><a href="#cite_note-Grannis-187"><span class="cite-bracket">&#91;</span>187<span class="cite-bracket">&#93;</span></a></sup>。1929年,<a href="/wiki/%E5%BE%B7%E5%9B%BD" title="德国">德国</a>内科医生<span class="ilh-all" data-orig-title="弗里茨·利金特" data-lang-code="en" data-lang-name="英语" data-foreign-title="Fritz Lickint"><span class="ilh-page"><a href="/w/index.php?title=%E5%BC%97%E9%87%8C%E8%8C%A8%C2%B7%E5%88%A9%E9%87%91%E7%89%B9&amp;action=edit&amp;redlink=1" class="new" title="弗里茨·利金特(页面不存在)">弗里茨·利金特</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Fritz_Lickint" class="extiw" title="en:Fritz Lickint"><span lang="en" dir="auto">Fritz Lickint</span></a></span>)</span></span>意识到了吸烟和肺癌的直接关联<sup id="cite_ref-Witschi_185-1" class="reference"><a href="#cite_note-Witschi-185"><span class="cite-bracket">&#91;</span>185<span class="cite-bracket">&#93;</span></a></sup>,这导致了一场激进的<a href="/wiki/%E7%B4%8D%E7%B2%B9%E5%BE%B7%E5%9C%8B%E7%A6%81%E7%85%99%E9%81%8B%E5%8B%95" class="mw-redirect" title="納粹德國禁煙運動">反吸烟运动</a><sup id="cite_ref-Proctor_188-0" class="reference"><a href="#cite_note-Proctor-188"><span class="cite-bracket">&#91;</span>188<span class="cite-bracket">&#93;</span></a></sup>。在1950年代发表的<span class="ilh-all" data-orig-title="英國醫師研究" data-lang-code="en" data-lang-name="英语" data-foreign-title="British Doctors Study"><span class="ilh-page"><a href="/w/index.php?title=%E8%8B%B1%E5%9C%8B%E9%86%AB%E5%B8%AB%E7%A0%94%E7%A9%B6&amp;action=edit&amp;redlink=1" class="new" title="英國醫師研究(页面不存在)">对英国医生吸烟和肺癌的研究</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/British_Doctors_Study" class="extiw" title="en:British Doctors Study"><span lang="en" dir="auto">British Doctors Study</span></a></span>)</span></span>结果,第一次为吸烟和肺癌之间的关联提供了确凿的流行病学证据<sup id="cite_ref-Doll_189-0" class="reference"><a href="#cite_note-Doll-189"><span class="cite-bracket">&#91;</span>189<span class="cite-bracket">&#93;</span></a></sup>。因此在1964年<span class="ilh-all" data-orig-title="美国军医署" data-lang-code="en" data-lang-name="英语" data-foreign-title="Surgeon General of the United States"><span class="ilh-page"><a href="/w/index.php?title=%E7%BE%8E%E5%9B%BD%E5%86%9B%E5%8C%BB%E7%BD%B2&amp;action=edit&amp;redlink=1" class="new" title="美国军医署(页面不存在)">美国军医署</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Surgeon_General_of_the_United_States" class="extiw" title="en:Surgeon General of the United States"><span lang="en" dir="auto">Surgeon General of the United States</span></a></span>)</span></span>建议吸烟者戒烟<sup id="cite_ref-AUTOREF30_190-0" class="reference"><a href="#cite_note-AUTOREF30-190"><span class="cite-bracket">&#91;</span>190<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>至於肺癌與<a href="/wiki/%E6%B0%A1" title="氡">氡氣</a>之間的關聯性,則要從一群在<a href="/wiki/%E8%90%A8%E5%85%8B%E6%A3%AE%E8%87%AA%E7%94%B1%E5%B7%9E" class="mw-redirect" title="萨克森自由州">萨克森州</a><span class="ilh-all" data-orig-title="施內貝格 (薩克森)" data-lang-code="en" data-lang-name="英语" data-foreign-title="Schneeberg, Saxony"><span class="ilh-page"><a href="/w/index.php?title=%E6%96%BD%E5%85%A7%E8%B2%9D%E6%A0%BC_(%E8%96%A9%E5%85%8B%E6%A3%AE)&amp;action=edit&amp;redlink=1" class="new" title="施內貝格 (薩克森)(页面不存在)">施內貝格</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Schneeberg,_Saxony" class="extiw" title="en:Schneeberg, Saxony"><span lang="en" dir="auto">Schneeberg, Saxony</span></a></span>)</span></span>附近的<a href="/wiki/%E5%8E%84%E5%B0%94%E5%A3%AB%E5%B1%B1%E8%84%89" title="厄尔士山脉">厄尔士山脉</a>工作的礦工開始說起。該礦坑從1740年就开始开采<a href="/wiki/%E9%93%B6" class="mw-redirect" title="银">银</a>矿,这些矿富含<a href="/wiki/%E9%93%80" class="mw-redirect" title="铀">铀</a>,也附带有<a href="/wiki/%E9%95%AD" title="镭">镭</a>和氡气<sup id="cite_ref-Greaves_191-0" class="reference"><a href="#cite_note-Greaves-191"><span class="cite-bracket">&#91;</span>191<span class="cite-bracket">&#93;</span></a></sup>。矿工中很多人患了肺部疾病,直到1870年代才意识到是肺癌<sup id="cite_ref-192" class="reference"><a href="#cite_note-192"><span class="cite-bracket">&#91;</span>192<span class="cite-bracket">&#93;</span></a></sup>。尽管发现了这些问题,但由于<a href="/wiki/%E8%8B%8F%E8%81%94" title="苏联">苏联</a>对铀的需求,开采还是持续到了1950年代<sup id="cite_ref-Greaves_191-1" class="reference"><a href="#cite_note-Greaves-191"><span class="cite-bracket">&#91;</span>191<span class="cite-bracket">&#93;</span></a></sup>。1960年代,氡被确认为肺癌的一个致病因素<sup id="cite_ref-193" class="reference"><a href="#cite_note-193"><span class="cite-bracket">&#91;</span>193<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>用于治疗肺癌的<span class="ilh-all" data-orig-title="全肺切除术" data-lang-code="en" data-lang-name="英语" data-foreign-title="pneumonectomy"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%A8%E8%82%BA%E5%88%87%E9%99%A4%E6%9C%AF&amp;action=edit&amp;redlink=1" class="new" title="全肺切除术(页面不存在)">全肺切除术</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/pneumonectomy" class="extiw" title="en:pneumonectomy"><span lang="en" dir="auto">pneumonectomy</span></a></span>)</span></span>,在1933年首次成功<sup id="cite_ref-AUTOREF32_194-0" class="reference"><a href="#cite_note-AUTOREF32-194"><span class="cite-bracket">&#91;</span>194<span class="cite-bracket">&#93;</span></a></sup>。姑息<a href="/wiki/%E6%94%BE%E7%96%97" class="mw-redirect" title="放疗">放疗</a>从1940年代开始使用<sup id="cite_ref-Edwards_195-0" class="reference"><a href="#cite_note-Edwards-195"><span class="cite-bracket">&#91;</span>195<span class="cite-bracket">&#93;</span></a></sup>,从1950年代开始使用根治性放疗,即尝试对那些处于肺癌早期但不适合手术治疗的病人使用更大的放射剂量<sup id="cite_ref-AUTOREF33_196-0" class="reference"><a href="#cite_note-AUTOREF33-196"><span class="cite-bracket">&#91;</span>196<span class="cite-bracket">&#93;</span></a></sup>。在1997年,连续超分割加速放疗法出现,这被认为是对传统的根治性放疗的改进<sup id="cite_ref-Saunders_197-0" class="reference"><a href="#cite_note-Saunders-197"><span class="cite-bracket">&#91;</span>197<span class="cite-bracket">&#93;</span></a></sup>。对小细胞肺癌,1960年代开始尝试手术切除<sup id="cite_ref-AUTOREF34_198-0" class="reference"><a href="#cite_note-AUTOREF34-198"><span class="cite-bracket">&#91;</span>198<span class="cite-bracket">&#93;</span></a></sup>和根治性放疗<sup id="cite_ref-AUTOREF35_199-0" class="reference"><a href="#cite_note-AUTOREF35-199"><span class="cite-bracket">&#91;</span>199<span class="cite-bracket">&#93;</span></a></sup>,但並不成功。至1970年代才开发出了成功的化疗方案<sup id="cite_ref-AUTOREF36_200-0" class="reference"><a href="#cite_note-AUTOREF36-200"><span class="cite-bracket">&#91;</span>200<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="研究方向"><span id=".E7.A0.94.E7.A9.B6.E6.96.B9.E5.90.91"></span>研究方向</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=31" title="编辑章节:研究方向"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>当前肺癌治疗的研究方向包括<a href="/wiki/%E5%85%8D%E7%96%AB%E6%B2%BB%E7%96%97" title="免疫治疗">免疫治疗</a>(激活机体免疫系统攻击肿瘤细胞)<sup id="cite_ref-Syn2017_147-3" class="reference"><a href="#cite_note-Syn2017-147"><span class="cite-bracket">&#91;</span>147<span class="cite-bracket">&#93;</span></a></sup>、<a href="/wiki/%E8%A1%A8%E8%A7%82%E9%81%97%E4%BC%A0%E5%AD%A6" class="mw-redirect" title="表观遗传学">表观遗传学</a>、化疗和放疗新组合(单独或合併使用)。这些新的治疗措施中很多是通过<span class="ilh-all" data-orig-title="免疫關卡阻斷劑" data-lang-code="en" data-lang-name="英语" data-foreign-title="immune checkpoint blockade"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%8D%E7%96%AB%E9%97%9C%E5%8D%A1%E9%98%BB%E6%96%B7%E5%8A%91&amp;action=edit&amp;redlink=1" class="new" title="免疫關卡阻斷劑(页面不存在)">阻斷免疫關卡</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/immune_checkpoint_blockade" class="extiw" title="en:immune checkpoint blockade"><span lang="en" dir="auto">immune checkpoint blockade</span></a></span>)</span></span>,干扰癌细胞逃避<a href="/wiki/%E5%85%8D%E7%96%AB%E7%B3%BB%E7%BB%9F" title="免疫系统">免疫系统</a>攻击的能力<sup id="cite_ref-Syn2017_147-4" class="reference"><a href="#cite_note-Syn2017-147"><span class="cite-bracket">&#91;</span>147<span class="cite-bracket">&#93;</span></a></sup>。 </p><p><a href="/wiki/%E8%A1%A8%E8%A7%82%E9%81%97%E4%BC%A0%E5%AD%A6" class="mw-redirect" title="表观遗传学">表观遗传学</a>是研究遺傳性基因修飾以及基因表達的學門。生物體在不改變DNA序列狀況下,可以藉由一些分子標籤改變基因的表現,而這類修飾常常具有遺傳性。针对这些分子标签的药物可以杀死癌细胞,研究显示非小細胞癌早期給予藥物阻斷多重分子標籤,可以在副作用更少的情形下殺死癌細胞<sup id="cite_ref-Epi_201-0" class="reference"><a href="#cite_note-Epi-201"><span class="cite-bracket">&#91;</span>201<span class="cite-bracket">&#93;</span></a></sup>。在对病人进行标准化治疗前给他们用这些药可以提高效果<sup id="cite_ref-Epi_201-1" class="reference"><a href="#cite_note-Epi-201"><span class="cite-bracket">&#91;</span>201<span class="cite-bracket">&#93;</span></a></sup>。相關的臨床研究正在進行中,期望能探知此類藥物對於人類肺癌的效果<sup id="cite_ref-Epi_201-2" class="reference"><a href="#cite_note-Epi-201"><span class="cite-bracket">&#91;</span>201<span class="cite-bracket">&#93;</span></a></sup>。开发中的藥物包含<a href="/wiki/%E7%BB%84%E8%9B%8B%E7%99%BD%E8%84%B1%E4%B9%99%E9%85%B0%E9%85%B6%E6%8A%91%E5%88%B6%E5%89%82" class="mw-redirect" title="组蛋白脱乙酰酶抑制剂">组蛋白脱乙酰酶抑制剂</a>和<span class="ilh-all" data-orig-title="DNA甲基转移酶" data-lang-code="en" data-lang-name="英语" data-foreign-title="DNA methyltransferase"><span class="ilh-page"><a href="/w/index.php?title=DNA%E7%94%B2%E5%9F%BA%E8%BD%AC%E7%A7%BB%E9%85%B6&amp;action=edit&amp;redlink=1" class="new" title="DNA甲基转移酶(页面不存在)">DNA甲基转移酶</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/DNA_methyltransferase" class="extiw" title="en:DNA methyltransferase"><span lang="en" dir="auto">DNA methyltransferase</span></a></span>)</span></span>,前者包括<a href="/wiki/%E4%B8%99%E6%88%8A%E9%85%B8" title="丙戊酸">丙戊酸</a>,<a href="/wiki/%E4%BC%8F%E7%AB%8B%E8%AF%BA%E4%BB%96" title="伏立诺他">伏立诺他</a>(vorinostat)、<span class="ilh-all" data-orig-title="貝利司他" data-lang-code="en" data-lang-name="英语" data-foreign-title="belinostat"><span class="ilh-page"><a href="/w/index.php?title=%E8%B2%9D%E5%88%A9%E5%8F%B8%E4%BB%96&amp;action=edit&amp;redlink=1" class="new" title="貝利司他(页面不存在)">貝利司他</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/belinostat" class="extiw" title="en:belinostat"><span lang="en" dir="auto">belinostat</span></a></span>)</span></span>(belinostat)、<span class="ilh-all" data-orig-title="帕比司他" data-lang-code="en" data-lang-name="英语" data-foreign-title="panobinostat"><span class="ilh-page"><a href="/w/index.php?title=%E5%B8%95%E6%AF%94%E5%8F%B8%E4%BB%96&amp;action=edit&amp;redlink=1" class="new" title="帕比司他(页面不存在)">帕比司他</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/panobinostat" class="extiw" title="en:panobinostat"><span lang="en" dir="auto">panobinostat</span></a></span>)</span></span>(panobinostat)、<span class="ilh-all" data-orig-title="恩替诺特" data-lang-code="en" data-lang-name="英语" data-foreign-title="entinostat"><span class="ilh-page"><a href="/w/index.php?title=%E6%81%A9%E6%9B%BF%E8%AF%BA%E7%89%B9&amp;action=edit&amp;redlink=1" class="new" title="恩替诺特(页面不存在)">恩替诺特</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/entinostat" class="extiw" title="en:entinostat"><span lang="en" dir="auto">entinostat</span></a></span>)</span></span>(entinostat)和<span class="ilh-all" data-orig-title="罗醚酯肽" data-lang-code="en" data-lang-name="英语" data-foreign-title="romidepsin"><span class="ilh-page"><a href="/w/index.php?title=%E7%BD%97%E9%86%9A%E9%85%AF%E8%82%BD&amp;action=edit&amp;redlink=1" class="new" title="罗醚酯肽(页面不存在)">罗醚酯肽</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/romidepsin" class="extiw" title="en:romidepsin"><span lang="en" dir="auto">romidepsin</span></a></span>)</span></span>(romidepsin)。後者則包括<a href="/wiki/%E5%9C%B0%E8%A5%BF%E4%BB%96%E6%BB%A8" title="地西他滨">地西他滨</a>(decitabine)、<span class="ilh-all" data-orig-title="氮杂胞苷" data-lang-code="en" data-lang-name="英语" data-foreign-title="azacytidine"><span class="ilh-page"><a href="/w/index.php?title=%E6%B0%AE%E6%9D%82%E8%83%9E%E8%8B%B7&amp;action=edit&amp;redlink=1" class="new" title="氮杂胞苷(页面不存在)">氮杂胞苷</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/azacytidine" class="extiw" title="en:azacytidine"><span lang="en" dir="auto">azacytidine</span></a></span>)</span></span>(azacitidine)和<a href="/wiki/%E8%82%BC%E5%B1%88%E5%97%AA" title="肼屈嗪">肼屈嗪</a><sup id="cite_ref-Jakopovic_65-1" class="reference"><a href="#cite_note-Jakopovic-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>TRACERx計畫正在观察非小细胞肺癌如何形成和发展,以及这些肿瘤如何变得对治疗耐受<sup id="cite_ref-Tracer_202-0" class="reference"><a href="#cite_note-Tracer-202"><span class="cite-bracket">&#91;</span>202<span class="cite-bracket">&#93;</span></a></sup>。这一项目会观察来自850例非小细胞肺癌病人的肿瘤样本,这些病人处于确诊后、初次治疗后、治疗后、和复发后等各个时期<sup id="cite_ref-203" class="reference"><a href="#cite_note-203"><span class="cite-bracket">&#91;</span>203<span class="cite-bracket">&#93;</span></a></sup>。通过分析肿瘤发展不同阶段的样本,研究者们希望找出哪些变化能够加速肿瘤的生长,加强肿瘤对治疗的耐受性。该项目的结果能够帮助科学家和医生理解非小细胞肺癌,并且可能有助于发现治疗肺癌的新的手段<sup id="cite_ref-Tracer_202-1" class="reference"><a href="#cite_note-Tracer-202"><span class="cite-bracket">&#91;</span>202<span class="cite-bracket">&#93;</span></a></sup>。 </p><p>嵌合抗原受體T細胞免疫療法(Chimeric Antigen Receptor T-Cell Immunotherapy)乃是先取得患者自身的T細胞後,在體外以基因工程的技術,使T細胞具有辨識癌細胞的能力後,再回輸到患者身上。被改造後的T細胞即稱為<a href="/wiki/%E5%B5%8C%E5%90%88%E6%8A%97%E5%8E%9F%E5%8F%97%E9%AB%94T%E7%B4%B0%E8%83%9E" title="嵌合抗原受體T細胞">嵌合抗原受體T細胞</a>(CAR-T),該療法在<a href="/wiki/%E6%80%A5%E6%80%A7%E6%B7%8B%E5%B7%B4%E6%80%A7%E7%99%BD%E8%A1%80%E7%97%85" title="急性淋巴性白血病">急性淋巴性白血病</a>(ALL)的治療方面取得了重大突破。目前也正在研究該療法在治療非小細胞肺癌以及<a href="/wiki/%E9%96%93%E7%9A%AE%E7%98%A4" title="間皮瘤">間皮瘤</a>的潛力<sup id="cite_ref-204" class="reference"><a href="#cite_note-204"><span class="cite-bracket">&#91;</span>204<span class="cite-bracket">&#93;</span></a></sup>。 </p> <div class="mw-heading mw-heading2"><h2 id="參考文獻"><span id=".E5.8F.83.E8.80.83.E6.96.87.E7.8D.BB"></span>參考文獻</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%E8%82%BA%E7%99%8C&amp;action=edit&amp;section=32" title="编辑章节:參考文獻"><span>编辑</span></a><span class="mw-editsection-bracket">]</span></span></div> <div style="clear:both;"></div> <div class="reflist columns references-column-width" style="-moz-column-width: 30em; -webkit-column-width: 30em; column-width: 30em; list-style-type: decimal;"> <ol class="references"> <li id="cite_note-ICD-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-ICD_1-0"><sup><b>1.0</b></sup></a> <a href="#cite_ref-ICD_1-1"><sup><b>1.1</b></sup></a></span> <span class="reference-text">World Health Organization (WHO, 世界卫生组织). <a rel="nofollow" class="external text" href="https://icd.who.int/browse/2024-01/mms/zh?secondLanguageCode=en#316539081">2C25 支气管或肺恶性肿瘤 Malignant neoplasms of bronchus or lung</a> (<a rel="nofollow" class="external text" href="//web.archive.org/web/20240515014857/https://icd.who.int/browse/2024-01/mms/zh?secondLanguageCode=en#316539081">页面存档备份</a>,存于<a href="/wiki/%E4%BA%92%E8%81%94%E7%BD%91%E6%A1%A3%E6%A1%88%E9%A6%86" title="互联网档案馆">互联网档案馆</a>) // ICD-11 for Mortality and Morbidity Statistics 用于死因与疾病统计的ICD-11(<a href="/wiki/%E5%9B%BD%E9%99%85%E7%96%BE%E7%97%85%E5%88%86%E7%B1%BB%E7%AC%AC%E5%8D%81%E4%B8%80%E6%AC%A1%E4%BF%AE%E8%AE%A2%E6%9C%AC" class="mw-redirect" title="国际疾病分类第十一次修订本">国际疾病分类第十一次修订本</a>)[DB/OL], 2019 (2024-01) [2024-07].</span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><cite class="citation book"><a href="/wiki/%E8%91%9B%E5%9D%87%E6%B3%A2" title="葛均波">葛均波</a>; 徐永健; 王辰 (编). 第八章 肺癌. 内科学(第9版). 北京: 人民卫生出版社. 2018: 75. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-7-117-26541-6" title="Special:网络书源/978-7-117-26541-6"><span title="国际标准书号">ISBN</span>&#160;978-7-117-26541-6</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=%E7%AC%AC%E5%85%AB%E7%AB%A0+%E8%82%BA%E7%99%8C&amp;rft.au=%E5%BE%90%E6%B0%B8%E5%81%A5&amp;rft.au=%E7%8E%8B%E8%BE%B0&amp;rft.au=%E8%91%9B%E5%9D%87%E6%B3%A2&amp;rft.btitle=%E5%86%85%E7%A7%91%E5%AD%A6%EF%BC%88%E7%AC%AC9%E7%89%88%EF%BC%89&amp;rft.date=2018&amp;rft.genre=bookitem&amp;rft.isbn=978-7-117-26541-6&amp;rft.pages=75&amp;rft.place=%E5%8C%97%E4%BA%AC&amp;rft.pub=%E4%BA%BA%E6%B0%91%E5%8D%AB%E7%94%9F%E5%87%BA%E7%89%88%E7%A4%BE&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Harrison-3"><span class="mw-cite-backlink">^ <a href="#cite_ref-Harrison_3-0"><sup><b>3.00</b></sup></a> <a href="#cite_ref-Harrison_3-1"><sup><b>3.01</b></sup></a> <a href="#cite_ref-Harrison_3-2"><sup><b>3.02</b></sup></a> <a href="#cite_ref-Harrison_3-3"><sup><b>3.03</b></sup></a> <a href="#cite_ref-Harrison_3-4"><sup><b>3.04</b></sup></a> <a href="#cite_ref-Harrison_3-5"><sup><b>3.05</b></sup></a> <a href="#cite_ref-Harrison_3-6"><sup><b>3.06</b></sup></a> <a href="#cite_ref-Harrison_3-7"><sup><b>3.07</b></sup></a> <a href="#cite_ref-Harrison_3-8"><sup><b>3.08</b></sup></a> <a href="#cite_ref-Harrison_3-9"><sup><b>3.09</b></sup></a> <a href="#cite_ref-Harrison_3-10"><sup><b>3.10</b></sup></a> <a href="#cite_ref-Harrison_3-11"><sup><b>3.11</b></sup></a> <a href="#cite_ref-Harrison_3-12"><sup><b>3.12</b></sup></a> <a href="#cite_ref-Harrison_3-13"><sup><b>3.13</b></sup></a> <a href="#cite_ref-Harrison_3-14"><sup><b>3.14</b></sup></a> <a href="#cite_ref-Harrison_3-15"><sup><b>3.15</b></sup></a> <a href="#cite_ref-Harrison_3-16"><sup><b>3.16</b></sup></a> <a href="#cite_ref-Harrison_3-17"><sup><b>3.17</b></sup></a> <a href="#cite_ref-Harrison_3-18"><sup><b>3.18</b></sup></a> <a href="#cite_ref-Harrison_3-19"><sup><b>3.19</b></sup></a> <a href="#cite_ref-Harrison_3-20"><sup><b>3.20</b></sup></a> <a href="#cite_ref-Harrison_3-21"><sup><b>3.21</b></sup></a> <a href="#cite_ref-Harrison_3-22"><sup><b>3.22</b></sup></a></span> <span class="reference-text"><cite class="citation book">Horn L, Lovly CM, Johnson DH. Chapter 107: Neoplasms of the lung. Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J (编). <a rel="nofollow" class="external text" href="https://archive.org/details/isbn_9780071842327">Harrison's Principles of Internal Medicine</a> 19th. McGraw-Hill. 2015. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-07-180216-1" title="Special:网络书源/978-0-07-180216-1"><span title="国际标准书号">ISBN</span>&#160;978-0-07-180216-1</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+107%3A+Neoplasms+of+the+lung&amp;rft.au=Johnson%2C+DH&amp;rft.au=Lovly%2C+CM&amp;rft.aufirst=L&amp;rft.aulast=Horn&amp;rft.btitle=Harrison%27s+Principles+of+Internal+Medicine&amp;rft.date=2015&amp;rft.edition=19th&amp;rft.genre=bookitem&amp;rft.isbn=978-0-07-180216-1&amp;rft.pub=McGraw-Hill&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fisbn_9780071842327&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-SEER-4"><span class="mw-cite-backlink">^ <a href="#cite_ref-SEER_4-0"><sup><b>4.0</b></sup></a> <a href="#cite_ref-SEER_4-1"><sup><b>4.1</b></sup></a> <a href="#cite_ref-SEER_4-2"><sup><b>4.2</b></sup></a> <a href="#cite_ref-SEER_4-3"><sup><b>4.3</b></sup></a> <a href="#cite_ref-SEER_4-4"><sup><b>4.4</b></sup></a></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://seer.cancer.gov/statfacts/html/lungb.html">Surveillance, Epidemiology and End Results Program</a>. National Cancer Institute. <span class="reference-accessdate"> &#91;<span class="nowrap">2016-03-05</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160304031945/http://seer.cancer.gov/statfacts/html/lungb.html">存档</a>于2016-03-04).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Surveillance%2C+Epidemiology+and+End+Results+Program&amp;rft.genre=unknown&amp;rft.jtitle=National+Cancer+Institute&amp;rft_id=http%3A%2F%2Fseer.cancer.gov%2Fstatfacts%2Fhtml%2Flungb.html&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-NCI2016Pt-5"><span class="mw-cite-backlink">^ <a href="#cite_ref-NCI2016Pt_5-0"><sup><b>5.0</b></sup></a> <a href="#cite_ref-NCI2016Pt_5-1"><sup><b>5.1</b></sup></a> <a href="#cite_ref-NCI2016Pt_5-2"><sup><b>5.2</b></sup></a></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://www.cancer.gov/types/lung">Lung Cancer—Patient Version</a>. NCI. <span class="reference-accessdate"> &#91;<span class="nowrap">2016-03-05</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160309175259/http://www.cancer.gov/types/lung">存档</a>于2016-03-09).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+Cancer%E2%80%94Patient+Version&amp;rft.genre=unknown&amp;rft.jtitle=NCI&amp;rft_id=http%3A%2F%2Fwww.cancer.gov%2Ftypes%2Flung&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-MurrayNadel52-6"><span class="mw-cite-backlink">^ <a href="#cite_ref-MurrayNadel52_6-0"><sup><b>6.0</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-1"><sup><b>6.1</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-2"><sup><b>6.2</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-3"><sup><b>6.3</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-4"><sup><b>6.4</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-5"><sup><b>6.5</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-6"><sup><b>6.6</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-7"><sup><b>6.7</b></sup></a> <a href="#cite_ref-MurrayNadel52_6-8"><sup><b>6.8</b></sup></a></span> <span class="reference-text"><cite class="citation book">Alberg AJ, Brock MV, Samet JM. Chapter 52: Epidemiology of lung cancer. <a rel="nofollow" class="external text" href="https://archive.org/details/murraynadelstext0000unse_d3h6">Murray &amp; Nadel's Textbook of Respiratory Medicine</a> 6th. Saunders Elsevier. 2016. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-4557-3383-5" title="Special:网络书源/978-1-4557-3383-5"><span title="国际标准书号">ISBN</span>&#160;978-1-4557-3383-5</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+52%3A+Epidemiology+of+lung+cancer&amp;rft.au=Brock%2C+MV&amp;rft.au=Samet%2C+JM&amp;rft.aufirst=AJ&amp;rft.aulast=Alberg&amp;rft.btitle=Murray+%26+Nadel%27s+Textbook+of+Respiratory+Medicine&amp;rft.date=2016&amp;rft.edition=6th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-4557-3383-5&amp;rft.pub=Saunders+Elsevier&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fmurraynadelstext0000unse_d3h6&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-O&#39;Reilly-7"><span class="mw-cite-backlink">^ <a href="#cite_ref-O&#39;Reilly_7-0"><sup><b>7.0</b></sup></a> <a href="#cite_ref-O&#39;Reilly_7-1"><sup><b>7.1</b></sup></a> <a href="#cite_ref-O&#39;Reilly_7-2"><sup><b>7.2</b></sup></a></span> <span class="reference-text"><cite class="citation journal">O'Reilly KM, Mclaughlin AM, Beckett WS, Sime PJ. <a rel="nofollow" class="external text" href="http://www.aafp.org/afp/20070301/683.html">Asbestos-related lung disease</a>. American Family Physician. March 2007, <b>75</b> (5): 683–8. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/17375514"><span title="公共医学识别码">PMID&#160;17375514</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070929083111/http://www.aafp.org/afp/20070301/683.html">存档</a>于2007年9月29日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Asbestos-related+lung+disease&amp;rft.au=Beckett%2C+WS&amp;rft.au=Mclaughlin%2C+AM&amp;rft.au=Sime%2C+PJ&amp;rft.aufirst=KM&amp;rft.aulast=O%27Reilly&amp;rft.date=2007-03&amp;rft.genre=article&amp;rft.issue=5&amp;rft.jtitle=American+Family+Physician&amp;rft.pages=683-8&amp;rft.volume=75&amp;rft_id=http%3A%2F%2Fwww.aafp.org%2Fafp%2F20070301%2F683.html&amp;rft_id=info%3Apmid%2F17375514&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Holland-Frei78-8"><span class="mw-cite-backlink">^ <a href="#cite_ref-Holland-Frei78_8-0"><sup><b>8.00</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-1"><sup><b>8.01</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-2"><sup><b>8.02</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-3"><sup><b>8.03</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-4"><sup><b>8.04</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-5"><sup><b>8.05</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-6"><sup><b>8.06</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-7"><sup><b>8.07</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-8"><sup><b>8.08</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-9"><sup><b>8.09</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-10"><sup><b>8.10</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-11"><sup><b>8.11</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-12"><sup><b>8.12</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-13"><sup><b>8.13</b></sup></a> <a href="#cite_ref-Holland-Frei78_8-14"><sup><b>8.14</b></sup></a></span> <span class="reference-text"><cite class="citation book">Lu C, Onn A, Vaporciyan AA, et al. Chapter 78: Cancer of the Lung. Holland-Frei Cancer Medicine 8th. People's Medical Publishing House. 2010. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-60795-014-1" title="Special:网络书源/978-1-60795-014-1"><span title="国际标准书号">ISBN</span>&#160;978-1-60795-014-1</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+78%3A+Cancer+of+the+Lung&amp;rft.au=Onn%2C+A&amp;rft.au=Vaporciyan%2C+AA&amp;rft.aufirst=C&amp;rft.aulast=Lu&amp;rft.btitle=Holland-Frei+Cancer+Medicine&amp;rft.date=2010&amp;rft.edition=8th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-60795-014-1&amp;rft.pub=People%27s+Medical+Publishing+House&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Merck-9"><span class="mw-cite-backlink">^ <a href="#cite_ref-Merck_9-0"><sup><b>9.00</b></sup></a> <a href="#cite_ref-Merck_9-1"><sup><b>9.01</b></sup></a> <a href="#cite_ref-Merck_9-2"><sup><b>9.02</b></sup></a> <a href="#cite_ref-Merck_9-3"><sup><b>9.03</b></sup></a> <a href="#cite_ref-Merck_9-4"><sup><b>9.04</b></sup></a> <a href="#cite_ref-Merck_9-5"><sup><b>9.05</b></sup></a> <a href="#cite_ref-Merck_9-6"><sup><b>9.06</b></sup></a> <a href="#cite_ref-Merck_9-7"><sup><b>9.07</b></sup></a> <a href="#cite_ref-Merck_9-8"><sup><b>9.08</b></sup></a> <a href="#cite_ref-Merck_9-9"><sup><b>9.09</b></sup></a> <a href="#cite_ref-Merck_9-10"><sup><b>9.10</b></sup></a> <a href="#cite_ref-Merck_9-11"><sup><b>9.11</b></sup></a></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="http://www.merck.com/mmpe/sec05/ch062/ch062b.html#sec05-ch062-ch062b-1405">Lung Carcinoma: Tumors of the Lungs</a>. Merck Manual Professional Edition, Online edition. <span class="reference-accessdate"> &#91;<span class="nowrap">2007-08-15</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070816142739/http://www.merck.com/mmpe/sec05/ch062/ch062b.html#sec05-ch062-ch062b-1405">存档</a>于2007-08-16).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.btitle=Lung+Carcinoma%3A+Tumors+of+the+Lungs&amp;rft.genre=unknown&amp;rft.pub=Merck+Manual+Professional+Edition%2C+Online+edition&amp;rft_id=http%3A%2F%2Fwww.merck.com%2Fmmpe%2Fsec05%2Fch062%2Fch062b.html%23sec05-ch062-ch062b-1405&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-GBD2015Pre-10"><span class="mw-cite-backlink"><b><a href="#cite_ref-GBD2015Pre_10-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">GBD 2015 Disease and Injury Incidence and Prevalence, Collaborators. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC5055577">Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015.</a>. Lancet. 2016-10-08, <b>388</b> (10053): 1545–1602. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC5055577"><span title="公共医学中心">PMC&#160;5055577</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/27733282"><span title="公共医学识别码">PMID&#160;27733282</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2FS0140-6736%2816%2931678-6"><span title="數位物件識別號">doi:10.1016/S0140-6736(16)31678-6</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Global%2C+regional%2C+and+national+incidence%2C+prevalence%2C+and+years+lived+with+disability+for+310+diseases+and+injuries%2C+1990%E2%80%932015%3A+a+systematic+analysis+for+the+Global+Burden+of+Disease+Study+2015.&amp;rft.aufirst=Collaborators.&amp;rft.aulast=GBD+2015+Disease+and+Injury+Incidence+and+Prevalence&amp;rft.date=2016-10-08&amp;rft.genre=article&amp;rft.issue=10053&amp;rft.jtitle=Lancet&amp;rft.pages=1545-1602&amp;rft.volume=388&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5055577&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5055577&amp;rft_id=info%3Adoi%2F10.1016%2FS0140-6736%2816%2931678-6&amp;rft_id=info%3Apmid%2F27733282&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-GBD2015De-11"><span class="mw-cite-backlink"><b><a href="#cite_ref-GBD2015De_11-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">GBD 2015 Mortality and Causes of Death, Collaborators. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC5388903">Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015.</a>. Lancet. 2016-10-08, <b>388</b> (10053): 1459–1544. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC5388903"><span title="公共医学中心">PMC&#160;5388903</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/27733281"><span title="公共医学识别码">PMID&#160;27733281</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2FS0140-6736%2816%2931012-1"><span title="數位物件識別號">doi:10.1016/S0140-6736(16)31012-1</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Global%2C+regional%2C+and+national+life+expectancy%2C+all-cause+mortality%2C+and+cause-specific+mortality+for+249+causes+of+death%2C+1980%E2%80%932015%3A+a+systematic+analysis+for+the+Global+Burden+of+Disease+Study+2015.&amp;rft.aufirst=Collaborators.&amp;rft.aulast=GBD+2015+Mortality+and+Causes+of+Death&amp;rft.date=2016-10-08&amp;rft.genre=article&amp;rft.issue=10053&amp;rft.jtitle=Lancet&amp;rft.pages=1459-1544&amp;rft.volume=388&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5388903&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5388903&amp;rft_id=info%3Adoi%2F10.1016%2FS0140-6736%2816%2931012-1&amp;rft_id=info%3Apmid%2F27733281&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-12"><span class="mw-cite-backlink"><b><a href="#cite_ref-12">^</a></b></span> <span class="reference-text"><cite class="citation encyclopaedia">陈至立 (编). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20240312180723/https://www.cihai.com.cn/detail?q=%E8%82%BA%E7%99%8C&amp;docId=5358127&amp;docLibId=72">肺癌</a>. <a href="/wiki/%E8%BE%9E%E6%B5%B7" title="辞海">辞海</a>. 上海: 上海辞书出版社. 2019. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-7-5326-5325-6" title="Special:网络书源/978-7-5326-5325-6"><span title="国际标准书号">ISBN</span>&#160;978-7-5326-5325-6</a>. (<a rel="nofollow" class="external text" href="https://www.cihai.com.cn/detail?q=%E8%82%BA%E7%99%8C&amp;docId=5358127&amp;docLibId=72">原始内容</a>存档于2024-03-12).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=%E8%82%BA%E7%99%8C&amp;rft.au=%E9%99%88%E8%87%B3%E7%AB%8B&amp;rft.btitle=%E8%BE%9E%E6%B5%B7&amp;rft.date=2019&amp;rft.genre=bookitem&amp;rft.isbn=978-7-5326-5325-6&amp;rft.place=%E4%B8%8A%E6%B5%B7&amp;rft.pub=%E4%B8%8A%E6%B5%B7%E8%BE%9E%E4%B9%A6%E5%87%BA%E7%89%88%E7%A4%BE&amp;rft_id=https%3A%2F%2Fwww.cihai.com.cn%2Fdetail%3Fq%3D%25E8%2582%25BA%25E7%2599%258C%26docId%3D5358127%26docLibId%3D72&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-13"><span class="mw-cite-backlink"><b><a href="#cite_ref-13">^</a></b></span> <span class="reference-text"><cite class="citation encyclopaedia"><a rel="nofollow" class="external text" href="https://siidb.fudan.edu.cn/syl/list.htm">宋元林</a>. <a rel="nofollow" class="external text" href="https://www.zgbk.com/ecph/words?SiteID=1&amp;ID=448314&amp;Type=bkzyb&amp;SubID=208077">肺癌</a>. <a href="/wiki/%E4%B8%AD%E5%9B%BD%E5%A4%A7%E7%99%BE%E7%A7%91%E5%85%A8%E4%B9%A6" title="中国大百科全书">中国大百科全书</a>. 北京: 中国大百科全书出版社. 2022-12-23 <span class="reference-accessdate"> &#91;<span class="nowrap">2024-03-18</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20240318125431/https://www.zgbk.com/ecph/words?SiteID=1&amp;ID=448314&amp;Type=bkzyb&amp;SubID=208077">存档</a>于2024-03-18).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=%E8%82%BA%E7%99%8C&amp;rft.au=%5Bhttps%3A%2F%2Fsiidb.fudan.edu.cn%2Fsyl%2Flist.htm+%E5%AE%8B%E5%85%83%E6%9E%97%5D&amp;rft.btitle=%E4%B8%AD%E5%9B%BD%E5%A4%A7%E7%99%BE%E7%A7%91%E5%85%A8%E4%B9%A6&amp;rft.date=2022-12-23&amp;rft.genre=bookitem&amp;rft.place=%E5%8C%97%E4%BA%AC&amp;rft.pub=%E4%B8%AD%E5%9B%BD%E5%A4%A7%E7%99%BE%E7%A7%91%E5%85%A8%E4%B9%A6%E5%87%BA%E7%89%88%E7%A4%BE&amp;rft_id=https%3A%2F%2Fwww.zgbk.com%2Fecph%2Fwords%3FSiteID%3D1%26ID%3D448314%26Type%3Dbkzyb%26SubID%3D208077&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-14"><span class="mw-cite-backlink"><b><a href="#cite_ref-14">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq">Non-Small Cell Lung Cancer Treatment –Patient Version (PDQ®)</a>. NCI. 2015-05-12 <span class="reference-accessdate"> &#91;<span class="nowrap">2016-03-05</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160229172247/http://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq">存档</a>于2016-02-29).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Non-Small+Cell+Lung+Cancer+Treatment+%E2%80%93Patient+Version+%28PDQ%C2%AE%29&amp;rft.date=2015-05-12&amp;rft.genre=unknown&amp;rft.jtitle=NCI&amp;rft_id=http%3A%2F%2Fwww.cancer.gov%2Ftypes%2Flung%2Fpatient%2Fnon-small-cell-lung-treatment-pdq&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-15"><span class="mw-cite-backlink"><b><a href="#cite_ref-15">^</a></b></span> <span class="reference-text"><cite class="citation book">Falk S, Williams C. Chapter 1. <a rel="nofollow" class="external text" href="https://archive.org/details/lungcancer0000falk">Lung Cancer—the facts</a> 3rd. Oxford University Press. 2010: <a rel="nofollow" class="external text" href="https://archive.org/details/lungcancer0000falk/page/3">3</a>–4. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-19-956933-5" title="Special:网络书源/978-0-19-956933-5"><span title="国际标准书号">ISBN</span>&#160;978-0-19-956933-5</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+1&amp;rft.au=Williams%2C+C&amp;rft.aufirst=S&amp;rft.aulast=Falk&amp;rft.btitle=Lung+Cancer%E2%80%94the+facts&amp;rft.date=2010&amp;rft.edition=3rd&amp;rft.genre=bookitem&amp;rft.isbn=978-0-19-956933-5&amp;rft.pages=3-4&amp;rft.pub=Oxford+University+Press&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Flungcancer0000falk&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-WCR2014Chp5.1-16"><span class="mw-cite-backlink">^ <a href="#cite_ref-WCR2014Chp5.1_16-0"><sup><b>16.0</b></sup></a> <a href="#cite_ref-WCR2014Chp5.1_16-1"><sup><b>16.1</b></sup></a></span> <span class="reference-text"><cite class="citation book"><a rel="nofollow" class="external text" href="https://archive.org/details/worldcancerrepor0000unse_p0u5">World Cancer Report 2014</a>. World Health Organization. 2014: Chapter 5.1. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/92-832-0429-8" title="Special:网络书源/92-832-0429-8"><span title="国际标准书号">ISBN</span>&#160;92-832-0429-8</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.btitle=World+Cancer+Report+2014&amp;rft.date=2014&amp;rft.genre=book&amp;rft.isbn=92-832-0429-8&amp;rft.pages=Chapter+5.1&amp;rft.pub=World+Health+Organization&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fworldcancerrepor0000unse_p0u5&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Thun-17"><span class="mw-cite-backlink"><b><a href="#cite_ref-Thun_17-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Thun MJ, Hannan LM, Adams-Campbell LL, et al. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC2531137">Lung cancer occurrence in never-smokers: an analysis of 13 cohorts and 22 cancer registry studies</a>. PLoS Medicine. September 2008, <b>5</b> (9): e185. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC2531137"><span title="公共医学中心">PMC&#160;2531137</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/18788891"><span title="公共医学识别码">PMID&#160;18788891</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1371%2Fjournal.pmed.0050185"><span title="數位物件識別號">doi:10.1371/journal.pmed.0050185</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+cancer+occurrence+in+never-smokers%3A+an+analysis+of+13+cohorts+and+22+cancer+registry+studies&amp;rft.au=Adams-Campbell%2C+LL&amp;rft.au=Hannan%2C+LM&amp;rft.aufirst=MJ&amp;rft.aulast=Thun&amp;rft.date=2008-09&amp;rft.genre=article&amp;rft.issue=9&amp;rft.jtitle=PLoS+Medicine&amp;rft.pages=e185&amp;rft.volume=5&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2531137&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2531137&amp;rft_id=info%3Adoi%2F10.1371%2Fjournal.pmed.0050185&amp;rft_id=info%3Apmid%2F18788891&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AUTOREF-18"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF_18-0">^</a></b></span> <span class="reference-text"><cite class="citation web">Carmona, RH. <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/books/NBK44324/">The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General</a>. U.S. Department of Health and Human Services. 2006-06-27. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20170215064658/https://www.ncbi.nlm.nih.gov/books/NBK44324/">存档</a>于2017-02-15). <q>Secondhand smoke exposure causes disease and premature death in children and adults who do not smoke.</q></cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.au=Carmona%2C+RH&amp;rft.btitle=The+Health+Consequences+of+Involuntary+Exposure+to+Tobacco+Smoke%3A+A+Report+of+the+Surgeon+General&amp;rft.date=2006-06-27&amp;rft.genre=unknown&amp;rft.pub=U.S.+Department+of+Health+and+Human+Services&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fbooks%2FNBK44324%2F&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span> </span> </li> <li id="cite_note-AUTOREF1-19"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF1_19-0">^</a></b></span> <span class="reference-text"><cite class="citation journal"><a rel="nofollow" class="external text" href="http://monographs.iarc.fr/ENG/Monographs/vol83/mono83.pdf">Tobacco Smoke and Involuntary Smoking</a> <span style="font-size:85%;">(PDF)</span>. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (WHO International Agency for Research on Cancer). 2004, <b>83</b>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20150813204458/http://monographs.iarc.fr/ENG/Monographs/vol83/mono83.pdf">存档</a> <span style="font-size:85%;">(PDF)</span>于2015-08-13). <q>There is sufficient evidence that involuntary smoking (exposure to secondhand or 'environmental' tobacco smoke) causes lung cancer in humans.&#160;... Involuntary smoking (exposure to secondhand or 'environmental' tobacco smoke) is carcinogenic to humans (Group 1).</q></cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Tobacco+Smoke+and+Involuntary+Smoking&amp;rft.date=2004&amp;rft.genre=article&amp;rft.jtitle=IARC+Monographs+on+the+Evaluation+of+Carcinogenic+Risks+to+Humans&amp;rft.volume=83&amp;rft_id=http%3A%2F%2Fmonographs.iarc.fr%2FENG%2FMonographs%2Fvol83%2Fmono83.pdf&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Collins-20"><span class="mw-cite-backlink">^ <a href="#cite_ref-Collins_20-0"><sup><b>20.0</b></sup></a> <a href="#cite_ref-Collins_20-1"><sup><b>20.1</b></sup></a> <a href="#cite_ref-Collins_20-2"><sup><b>20.2</b></sup></a> <a href="#cite_ref-Collins_20-3"><sup><b>20.3</b></sup></a> <a href="#cite_ref-Collins_20-4"><sup><b>20.4</b></sup></a> <a href="#cite_ref-Collins_20-5"><sup><b>20.5</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Collins LG, Haines C, Perkel R, Enck RE. <a rel="nofollow" class="external text" href="http://www.aafp.org/afp/20070101/56.html">Lung cancer: diagnosis and management</a>. American Family Physician. January 2007, <b>75</b> (1): 56–63. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/17225705"><span title="公共医学识别码">PMID&#160;17225705</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070929104510/http://www.aafp.org/afp/20070101/56.html">存档</a>于2007年9月29日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+cancer%3A+diagnosis+and+management&amp;rft.au=Enck%2C+RE&amp;rft.au=Haines%2C+C&amp;rft.au=Perkel%2C+R&amp;rft.aufirst=LG&amp;rft.aulast=Collins&amp;rft.date=2007-01&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=American+Family+Physician&amp;rft.pages=56-63&amp;rft.volume=75&amp;rft_id=http%3A%2F%2Fwww.aafp.org%2Fafp%2F20070101%2F56.html&amp;rft_id=info%3Apmid%2F17225705&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-NCI2015Pre-21"><span class="mw-cite-backlink"><b><a href="#cite_ref-NCI2015Pre_21-0">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://www.cancer.gov/types/lung/patient/lung-prevention-pdq#section/_12">Lung Cancer Prevention–Patient Version (PDQ®)</a>. NCI. 2015-11-04 <span class="reference-accessdate"> &#91;<span class="nowrap">2016-03-05</span>&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160309063009/http://www.cancer.gov/types/lung/patient/lung-prevention-pdq#section/_12">存档</a>于2016-03-09).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+Cancer+Prevention%E2%80%93Patient+Version+%28PDQ%C2%AE%29&amp;rft.date=2015-11-04&amp;rft.genre=unknown&amp;rft.jtitle=NCI&amp;rft_id=http%3A%2F%2Fwww.cancer.gov%2Ftypes%2Flung%2Fpatient%2Flung-prevention-pdq%23section%2F_12&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-22"><span class="mw-cite-backlink"><b><a href="#cite_ref-22">^</a></b></span> <span class="reference-text"><cite class="citation book">Chapman S, Robinson G, Stradling J, West S, Wrightson J. Chapter 31. <a rel="nofollow" class="external text" href="https://archive.org/details/oxfordhandbookof0000unse_f2c2">Oxford Handbook of Respiratory Medicine</a> 3rd. Oxford University Press. 2014: <a rel="nofollow" class="external text" href="https://archive.org/details/oxfordhandbookof0000unse_f2c2/page/n309">284</a>. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-19-870386-0" title="Special:网络书源/978-0-19-870386-0"><span title="国际标准书号">ISBN</span>&#160;978-0-19-870386-0</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+31&amp;rft.au=Robinson%2C+G&amp;rft.au=Stradling%2C+J&amp;rft.au=West%2C+S&amp;rft.au=Wrightson%2C+J&amp;rft.aufirst=S&amp;rft.aulast=Chapman&amp;rft.btitle=Oxford+Handbook+of+Respiratory+Medicine&amp;rft.date=2014&amp;rft.edition=3rd&amp;rft.genre=bookitem&amp;rft.isbn=978-0-19-870386-0&amp;rft.pages=284&amp;rft.pub=Oxford+University+Press&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Foxfordhandbookof0000unse_f2c2&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-WCR2014Epi-23"><span class="mw-cite-backlink">^ <a href="#cite_ref-WCR2014Epi_23-0"><sup><b>23.0</b></sup></a> <a href="#cite_ref-WCR2014Epi_23-1"><sup><b>23.1</b></sup></a></span> <span class="reference-text"><cite class="citation book"><a rel="nofollow" class="external text" href="https://archive.org/details/worldcancerrepor0000unse_p0u5">World Cancer Report 2014</a>. World Health Organization. 2014: Chapter 1.1. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/92-832-0429-8" title="Special:网络书源/92-832-0429-8"><span title="国际标准书号">ISBN</span>&#160;92-832-0429-8</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.btitle=World+Cancer+Report+2014&amp;rft.date=2014&amp;rft.genre=book&amp;rft.isbn=92-832-0429-8&amp;rft.pages=Chapter+1.1&amp;rft.pub=World+Health+Organization&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fworldcancerrepor0000unse_p0u5&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Maj2009-24"><span class="mw-cite-backlink">^ <a href="#cite_ref-Maj2009_24-0"><sup><b>24.0</b></sup></a> <a href="#cite_ref-Maj2009_24-1"><sup><b>24.1</b></sup></a></span> <span class="reference-text"><cite class="citation book">Majumder S. <a rel="nofollow" class="external text" href="https://books.google.com/books?id=HaErOupWnO0C&amp;pg=PA193">Stem cells and cancer</a> Online-Ausg. New York: Springer. 2009: 193. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-387-89611-3" title="Special:网络书源/978-0-387-89611-3"><span title="国际标准书号">ISBN</span>&#160;978-0-387-89611-3</a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20151018040051/https://books.google.com/books?id=HaErOupWnO0C&amp;pg=PA193">存档</a>于2015-10-18).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.aufirst=Sadhan&amp;rft.aulast=Majumder&amp;rft.btitle=Stem+cells+and+cancer&amp;rft.date=2009&amp;rft.edition=Online-Ausg.&amp;rft.genre=book&amp;rft.isbn=978-0-387-89611-3&amp;rft.pages=193&amp;rft.place=New+York&amp;rft.pub=Springer&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3DHaErOupWnO0C%26pg%3DPA193&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-25"><span class="mw-cite-backlink"><b><a href="#cite_ref-25">^</a></b></span> <span class="reference-text"><cite class="citation journal">Sung, Hyuna; Ferlay, Jacques; Siegel, Rebecca L.; Laversanne, Mathieu; Soerjomataram, Isabelle; Jemal, Ahmedin; Bray, Freddie. <a rel="nofollow" class="external text" href="https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21660">Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries</a>. CA: A Cancer Journal for Clinicians. 2021-05, <b>71</b> (3) <span class="reference-accessdate"> &#91;<span class="nowrap">2023-11-24</span>&#93;</span>. <a rel="nofollow" class="external text" href="//www.worldcat.org/issn/0007-9235"><span title="国际标准连续出版物号">ISSN&#160;0007-9235</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3322%2Fcaac.21660"><span title="數位物件識別號">doi:10.3322/caac.21660</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20240303044434/https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21660">存档</a>于2024-03-03) <span style="font-family: sans-serif; cursor: default; color:var(--color-subtle, #54595d); font-size: 0.8em; bottom: 0.1em; font-weight: bold;" title="连接到英语网页">(英语)</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Global+Cancer+Statistics+2020%3A+GLOBOCAN+Estimates+of+Incidence+and+Mortality+Worldwide+for+36+Cancers+in+185+Countries&amp;rft.au=Bray%2C+Freddie&amp;rft.au=Ferlay%2C+Jacques&amp;rft.au=Jemal%2C+Ahmedin&amp;rft.au=Laversanne%2C+Mathieu&amp;rft.au=Siegel%2C+Rebecca+L.&amp;rft.au=Soerjomataram%2C+Isabelle&amp;rft.aufirst=Hyuna&amp;rft.aulast=Sung&amp;rft.date=2021-05&amp;rft.genre=article&amp;rft.issn=0007-9235&amp;rft.issue=3&amp;rft.jtitle=CA%3A+A+Cancer+Journal+for+Clinicians&amp;rft.volume=71&amp;rft_id=https%3A%2F%2Facsjournals.onlinelibrary.wiley.com%2Fdoi%2F10.3322%2Fcaac.21660&amp;rft_id=info%3Adoi%2F10.3322%2Fcaac.21660&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-26"><span class="mw-cite-backlink"><b><a href="#cite_ref-26">^</a></b></span> <span class="reference-text"><cite class="citation journal">Xia, Changfa; Dong, Xuesi; Li, He; Cao, Maomao; Sun, Dianqin; He, Siyi; Yang, Fan; Yan, Xinxin; Zhang, Shaoli; Li, Ni; Chen, Wanqing. <a rel="nofollow" class="external text" href="https://dx.doi.org/10.1097/cm9.0000000000002108">Cancer statistics in China and United States, 2022: profiles, trends, and determinants</a>. Chinese Medical Journal. 2022-02-09, <b>135</b> (5). <a rel="nofollow" class="external text" href="//www.worldcat.org/issn/0366-6999"><span title="国际标准连续出版物号">ISSN&#160;0366-6999</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1097%2Fcm9.0000000000002108"><span title="數位物件識別號">doi:10.1097/cm9.0000000000002108</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Cancer+statistics+in+China+and+United+States%2C+2022%3A+profiles%2C+trends%2C+and+determinants&amp;rft.au=Cao%2C+Maomao&amp;rft.au=Chen%2C+Wanqing&amp;rft.au=Dong%2C+Xuesi&amp;rft.au=He%2C+Siyi&amp;rft.au=Li%2C+He&amp;rft.au=Li%2C+Ni&amp;rft.au=Sun%2C+Dianqin&amp;rft.au=Yan%2C+Xinxin&amp;rft.au=Yang%2C+Fan&amp;rft.au=Zhang%2C+Shaoli&amp;rft.aufirst=Changfa&amp;rft.aulast=Xia&amp;rft.date=2022-02-09&amp;rft.genre=article&amp;rft.issn=0366-6999&amp;rft.issue=5&amp;rft.jtitle=Chinese+Medical+Journal&amp;rft.volume=135&amp;rft_id=http%3A%2F%2Fdx.doi.org%2F10.1097%2Fcm9.0000000000002108&amp;rft_id=info%3Adoi%2F10.1097%2Fcm9.0000000000002108&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Honnorat-27"><span class="mw-cite-backlink"><b><a href="#cite_ref-Honnorat_27-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Honnorat J, Antoine JC. <a rel="nofollow" class="external text" href="http://www.ojrd.com/content/2/1/22">Paraneoplastic neurological syndromes</a>. Orphanet Journal of Rare Diseases (BioMed Central). May 2007, <b>2</b> (1): 22. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC1868710"><span title="公共医学中心">PMC&#160;1868710</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/17480225"><span title="公共医学识别码">PMID&#160;17480225</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1186%2F1750-1172-2-22"><span title="數位物件識別號">doi:10.1186/1750-1172-2-22</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070927213613/http://www.ojrd.com/content/2/1/22">存档</a>于2007年9月27日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Paraneoplastic+neurological+syndromes&amp;rft.au=Antoine%2C+JC&amp;rft.aufirst=J&amp;rft.aulast=Honnorat&amp;rft.date=2007-05&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Orphanet+Journal+of+Rare+Diseases&amp;rft.pages=22&amp;rft.volume=2&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1868710&amp;rft_id=http%3A%2F%2Fwww.ojrd.com%2Fcontent%2F2%2F1%2F22&amp;rft_id=info%3Adoi%2F10.1186%2F1750-1172-2-22&amp;rft_id=info%3Apmid%2F17480225&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-ajcc-28"><span class="mw-cite-backlink">^ <a href="#cite_ref-ajcc_28-0"><sup><b>28.0</b></sup></a> <a href="#cite_ref-ajcc_28-1"><sup><b>28.1</b></sup></a></span> <span class="reference-text"><cite class="citation book">Frederick L G. <a rel="nofollow" class="external text" href="https://archive.org/details/ajcccancerstagin0000unse">AJCC cancer staging manual</a>. Berlin: Springer-Verlag. 2002. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/0-387-95271-3" title="Special:网络书源/0-387-95271-3"><span title="国际标准书号">ISBN</span>&#160;0-387-95271-3</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.aufirst=Greene&amp;rft.aulast=Frederick+L.&amp;rft.btitle=AJCC+cancer+staging+manual&amp;rft.date=2002&amp;rft.genre=book&amp;rft.isbn=0-387-95271-3&amp;rft.place=Berlin&amp;rft.pub=Springer-Verlag&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fajcccancerstagin0000unse&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Holland-Frei8-29"><span class="mw-cite-backlink"><b><a href="#cite_ref-Holland-Frei8_29-0">^</a></b></span> <span class="reference-text"><cite class="citation book">Brown KM, Keats JJ, Sekulic A, et al. Chapter 8. Holland-Frei Cancer Medicine 8th. People's Medical Publishing House USA. 2010. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-60795-014-1" title="Special:网络书源/978-1-60795-014-1"><span title="国际标准书号">ISBN</span>&#160;978-1-60795-014-1</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+8&amp;rft.au=Keats%2C+JJ&amp;rft.au=Sekulic%2C+A&amp;rft.aufirst=KM&amp;rft.aulast=Brown&amp;rft.btitle=Holland-Frei+Cancer+Medicine&amp;rft.date=2010&amp;rft.edition=8th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-60795-014-1&amp;rft.pub=People%27s+Medical+Publishing+House+USA&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Hecht-30"><span class="mw-cite-backlink">^ <a href="#cite_ref-Hecht_30-0"><sup><b>30.0</b></sup></a> <a href="#cite_ref-Hecht_30-1"><sup><b>30.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Hecht SS. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3479369">Lung carcinogenesis by tobacco smoke</a>. International Journal of Cancer. 2012, <b>131</b> (12): 2724–2732. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3479369"><span title="公共医学中心">PMC&#160;3479369</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/22945513"><span title="公共医学识别码">PMID&#160;22945513</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1002%2Fijc.27816"><span title="數位物件識別號">doi:10.1002/ijc.27816</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+carcinogenesis+by+tobacco+smoke&amp;rft.aufirst=SS&amp;rft.aulast=Hecht&amp;rft.date=2012&amp;rft.genre=article&amp;rft.issue=12&amp;rft.jtitle=International+Journal+of+Cancer&amp;rft.pages=2724-2732&amp;rft.volume=131&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3479369&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3479369&amp;rft_id=info%3Adoi%2F10.1002%2Fijc.27816&amp;rft_id=info%3Apmid%2F22945513&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-31"><span class="mw-cite-backlink"><b><a href="#cite_ref-31">^</a></b></span> <span class="reference-text"><cite class="citation book">Kumar V, Abbas AK, Aster JC. Chapter 5. <a rel="nofollow" class="external text" href="https://archive.org/details/robbinsbasicpath0000unse_c0q1">Robbins Basic Pathology</a> 9th. 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Oxford University Press. 2006. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/0-19-262535-7" title="Special:网络书源/0-19-262535-7"><span title="国际标准书号">ISBN</span>&#160;0-19-262535-7</a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070905151935/http://www.ctsu.ox.ac.uk/~tobacco/">存档</a>于2007年9月5日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.au=Boreham%2C+J&amp;rft.au=Lopez%2C+AD&amp;rft.aufirst=R&amp;rft.aulast=Peto&amp;rft.btitle=Mortality+from+smoking+in+developed+countries+1950%E2%80%932000%3A+Indirect+estimates+from+National+Vital+Statistics&amp;rft.date=2006&amp;rft.genre=book&amp;rft.isbn=0-19-262535-7&amp;rft.pub=Oxford+University+Press&amp;rft_id=http%3A%2F%2Fwww.ctsu.ox.ac.uk%2F~tobacco%2F&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AUTOREF7-33"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF7_33-0">^</a></b></span> <span class="reference-text"><cite class="citation journal"><a rel="nofollow" class="external text" href="http://www.druglibrary.org/schaffer/tobacco/caets/ets-main.htm">Health effects of exposure to environmental tobacco smoke. 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Tobacco Control. 1997, <b>6</b> (4): 346–53. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC1759599"><span title="公共医学中心">PMC&#160;1759599</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/9583639"><span title="公共医学识别码">PMID&#160;9583639</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1136%2Ftc.6.4.346"><span title="數位物件識別號">doi:10.1136/tc.6.4.346</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070808045344/http://druglibrary.org/schaffer/tobacco/caets/ets-main.htm">存档</a>于2007年8月8日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Health+effects+of+exposure+to+environmental+tobacco+smoke.+California+Environmental+Protection+Agency&amp;rft.date=1997&amp;rft.genre=article&amp;rft.issue=4&amp;rft.jtitle=Tobacco+Control&amp;rft.pages=346-53&amp;rft.volume=6&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC1759599&amp;rft_id=http%3A%2F%2Fwww.druglibrary.org%2Fschaffer%2Ftobacco%2Fcaets%2Fets-main.htm&amp;rft_id=info%3Adoi%2F10.1136%2Ftc.6.4.346&amp;rft_id=info%3Apmid%2F9583639&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-34"><span class="mw-cite-backlink"><b><a href="#cite_ref-34">^</a></b></span> <span class="reference-text"><cite class="citation journal"><a rel="nofollow" class="external text" href="https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5049a1.htm">State-specific prevalence of current cigarette smoking among adults, and policies and attitudes about secondhand smoke--United States, 2000</a>. MMWR. Morbidity and Mortality Weekly Report (CDC). December 2001, <b>50</b> (49): 1101–6. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/11794619"><span title="公共医学识别码">PMID&#160;11794619</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20170625143734/https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5049a1.htm">存档</a>于2017年6月25日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=State-specific+prevalence+of+current+cigarette+smoking+among+adults%2C+and+policies+and+attitudes+about+secondhand+smoke--United+States%2C+2000&amp;rft.date=2001-12&amp;rft.genre=article&amp;rft.issue=49&amp;rft.jtitle=MMWR.+Morbidity+and+Mortality+Weekly+Report&amp;rft.pages=1101-6&amp;rft.volume=50&amp;rft_id=https%3A%2F%2Fwww.cdc.gov%2Fmmwr%2Fpreview%2Fmmwrhtml%2Fmm5049a1.htm&amp;rft_id=info%3Apmid%2F11794619&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Alberg-35"><span class="mw-cite-backlink">^ <a href="#cite_ref-Alberg_35-0"><sup><b>35.0</b></sup></a> <a href="#cite_ref-Alberg_35-1"><sup><b>35.1</b></sup></a> <a href="#cite_ref-Alberg_35-2"><sup><b>35.2</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Alberg AJ, Ford JG, Samet JM. <a rel="nofollow" class="external text" href="http://chestjournal.chestpubs.org/content/132/3_suppl/29S.long">Epidemiology of lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition)</a>. Chest (American College of Chest Physicians). September 2007, <b>132</b> (3 Suppl): 29S–55S <span class="reference-accessdate"> &#91;<span class="nowrap">2015-08-04</span>&#93;</span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/17873159"><span title="公共医学识别码">PMID&#160;17873159</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1378%2Fchest.07-1347"><span title="數位物件識別號">doi:10.1378/chest.07-1347</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20200329053623/http://chestjournal.chestpubs.org/content/132/3_suppl/29S.long">存档</a>于2020-03-29).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Epidemiology+of+lung+cancer%3A+ACCP+evidence-based+clinical+practice+guidelines+%282nd+edition%29&amp;rft.au=Ford%2C+JG&amp;rft.au=Samet%2C+JM&amp;rft.aufirst=AJ&amp;rft.aulast=Alberg&amp;rft.date=2007-09&amp;rft.genre=article&amp;rft.issue=3+Suppl&amp;rft.jtitle=Chest&amp;rft.pages=29S-55S&amp;rft.volume=132&amp;rft_id=http%3A%2F%2Fchestjournal.chestpubs.org%2Fcontent%2F132%2F3_suppl%2F29S.long&amp;rft_id=info%3Adoi%2F10.1378%2Fchest.07-1347&amp;rft_id=info%3Apmid%2F17873159&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-36"><span class="mw-cite-backlink"><b><a href="#cite_ref-36">^</a></b></span> <span class="reference-text"><cite class="citation journal">Jaakkola MS, Jaakkola JJ. <a rel="nofollow" class="external text" href="http://erj.ersjournals.com/content/28/2/397.long">Impact of smoke-free workplace legislation on exposures and health: possibilities for prevention</a>. 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(原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20130129003845/http://erj.ersjournals.com/content/28/2/397.long">存档</a>于2013年1月29日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Impact+of+smoke-free+workplace+legislation+on+exposures+and+health%3A+possibilities+for+prevention&amp;rft.au=Jaakkola%2C+JJ&amp;rft.aufirst=MS&amp;rft.aulast=Jaakkola&amp;rft.date=2006-08&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=The+European+Respiratory+Journal&amp;rft.pages=397-408&amp;rft.volume=28&amp;rft_id=http%3A%2F%2Ferj.ersjournals.com%2Fcontent%2F28%2F2%2F397.long&amp;rft_id=info%3Adoi%2F10.1183%2F09031936.06.00001306&amp;rft_id=info%3Apmid%2F16880370&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-37"><span class="mw-cite-backlink"><b><a href="#cite_ref-37">^</a></b></span> <span class="reference-text"><cite class="citation journal">Parkin DM. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3252064">2. 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International Journal of Epidemiology. October 2007, <b>36</b> (5): 1048–59. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/17690135"><span title="公共医学识别码">PMID&#160;17690135</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fije%2Fdym158"><span title="數位物件識別號">doi:10.1093/ije/dym158</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20110805173006/http://ije.oxfordjournals.org/content/36/5/1048.long">存档</a>于2011年8月5日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Meta-analysis+of+studies+of+passive+smoking+and+lung+cancer%3A+effects+of+study+type+and+continent&amp;rft.au=Dobson%2C+A&amp;rft.au=Najafi%2C+F&amp;rft.aufirst=R&amp;rft.aulast=Taylor&amp;rft.date=2007-10&amp;rft.genre=article&amp;rft.issue=5&amp;rft.jtitle=International+Journal+of+Epidemiology&amp;rft.pages=1048-59&amp;rft.volume=36&amp;rft_id=http%3A%2F%2Fije.oxfordjournals.org%2Fcontent%2F36%2F5%2F1048.long&amp;rft_id=info%3Adoi%2F10.1093%2Fije%2Fdym158&amp;rft_id=info%3Apmid%2F17690135&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-39"><span class="mw-cite-backlink"><b><a href="#cite_ref-39">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="http://www.who.int/tobacco/research/secondhand_smoke/faq/en/index.html">Frequently asked questions about second hand smoke</a>. 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EPA. February 2013. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20090429130828/http://www.epa.gov/rpdweb00/radionuclides/radon.html">存档</a>于2009年4月29日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.au=EPA&amp;rft.btitle=Radiation+information%3A+radon&amp;rft.date=2013-02&amp;rft.genre=unknown&amp;rft.pub=EPA&amp;rft_id=http%3A%2F%2Fwww.epa.gov%2Frpdweb00%2Fradionuclides%2Fradon.html&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-50"><span class="mw-cite-backlink"><b><a href="#cite_ref-50">^</a></b></span> <span class="reference-text"><cite class="citation book">Tobias J, Hochhauser D. Chapter 12. <a rel="nofollow" class="external text" href="https://archive.org/details/canceritsmanagem00tobi">Cancer and its Management</a> 6th. 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Jan–Mar 2008, <b>23</b> (1): 1–37. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC2791455"><span title="公共医学中心">PMC&#160;2791455</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/18557596"><span title="公共医学识别码">PMID&#160;18557596</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1515%2FREVEH.2008.23.1.1"><span title="數位物件識別號">doi:10.1515/REVEH.2008.23.1.1</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Environmental+and+occupational+causes+of+cancer%3A+new+evidence+2005-2007&amp;rft.au=Jacobs%2C+MM&amp;rft.au=Loechler%2C+EL&amp;rft.aufirst=RW&amp;rft.aulast=Clapp&amp;rft.date=2008-01%2F2008-03&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Reviews+on+Environmental+Health&amp;rft.pages=1-37&amp;rft.volume=23&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2791455&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2791455&amp;rft_id=info%3Adoi%2F10.1515%2FREVEH.2008.23.1.1&amp;rft_id=info%3Apmid%2F18557596&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Lim2012-54"><span class="mw-cite-backlink">^ <a href="#cite_ref-Lim2012_54-0"><sup><b>54.0</b></sup></a> <a href="#cite_ref-Lim2012_54-1"><sup><b>54.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Lim WY, Seow A. 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January 2012, <b>17</b> (1): 20–31. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/22008241"><span title="公共医学识别码">PMID&#160;22008241</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1111%2Fj.1440-1843.2011.02088.x"><span title="數位物件識別號">doi:10.1111/j.1440-1843.2011.02088.x</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Biomass+fuels+and+lung+cancer&amp;rft.au=Seow%2C+A&amp;rft.aufirst=WY&amp;rft.aulast=Lim&amp;rft.date=2012-01&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Respirology&amp;rft.pages=20-31&amp;rft.volume=17&amp;rft_id=info%3Adoi%2F10.1111%2Fj.1440-1843.2011.02088.x&amp;rft_id=info%3Apmid%2F22008241&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Sood2012-55"><span class="mw-cite-backlink">^ <a href="#cite_ref-Sood2012_55-0"><sup><b>55.0</b></sup></a> <a href="#cite_ref-Sood2012_55-1"><sup><b>55.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Sood, A. 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Journal of Thoracic Disease. October 2013,. 5 Suppl 5 (Suppl. 5): S454–62. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3804872"><span title="公共医学中心">PMC&#160;3804872</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/24163739"><span title="公共医学识别码">PMID&#160;24163739</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3978%2Fj.issn.2072-1439.2013.08.06"><span title="數位物件識別號">doi:10.3978/j.issn.2072-1439.2013.08.06</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Genetic+susceptibility+to+lung+cancer+and+co-morbidities&amp;rft.au=Fong%2C+KM&amp;rft.au=Holloway%2C+JW&amp;rft.aufirst=IA&amp;rft.aulast=Yang&amp;rft.date=2013-10&amp;rft.genre=article&amp;rft.issue=Suppl.+5&amp;rft.jtitle=Journal+of+Thoracic+Disease&amp;rft.pages=S454-62&amp;rft.volume=5+Suppl+5&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3804872&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3804872&amp;rft_id=info%3Adoi%2F10.3978%2Fj.issn.2072-1439.2013.08.06&amp;rft_id=info%3Apmid%2F24163739&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-57"><span class="mw-cite-backlink"><b><a href="#cite_ref-57">^</a></b></span> <span class="reference-text"><cite class="citation book">Dela Cruz CS, Tanoue LT, Matthay RA. Chapter 109: Epidemiology of lung cancer. Grippi MA, Elias JA, Fishman JA, Kotloff RM, Pack AI, Senior RM (编). <a rel="nofollow" class="external text" href="https://archive.org/details/fishmanspulmonar0001unse">Fishman's Pulmonary Diseases and Disorders</a> 5th. 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December 2011, <b>32</b> (4): 703–40. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3367865"><span title="公共医学中心">PMC&#160;3367865</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/22054881"><span title="公共医学识别码">PMID&#160;22054881</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.ccm.2011.08.003"><span title="數位物件識別號">doi:10.1016/j.ccm.2011.08.003</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Molecular+biology+of+lung+cancer%3A+clinical+implications&amp;rft.au=Minna%2C+JD&amp;rft.aufirst=JE&amp;rft.aulast=Larsen&amp;rft.date=2011-12&amp;rft.genre=article&amp;rft.issue=4&amp;rft.jtitle=Clinics+in+Chest+Medicine&amp;rft.pages=703-40&amp;rft.volume=32&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3367865&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fsim_clinics-in-chest-medicine_2011-12_32_4%2Fpage%2F703&amp;rft_id=info%3Adoi%2F10.1016%2Fj.ccm.2011.08.003&amp;rft_id=info%3Apmid%2F22054881&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-WHOListLungCancer-59"><span class="mw-cite-backlink"><b><a href="#cite_ref-WHOListLungCancer_59-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Cogliano VJ, Baan R, Straif K, Grosse Y, Lauby-Secretan B, El Ghissassi F, et al. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20120920150724/http://monographs.iarc.fr/ENG/Classification/Table4.pdf">Preventable exposures associated with human cancers</a> <span style="font-size:85%;">(PDF)</span>. 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December 2011, <b>103</b> (24): 1827–39 <span class="reference-accessdate"> &#91;2015年8月4日&#93;</span>. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3243677"><span title="公共医学中心">PMC&#160;3243677</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/22158127"><span title="公共医学识别码">PMID&#160;22158127</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fjnci%2Fdjr483"><span title="數位物件識別號">doi:10.1093/jnci/djr483</span></a>. (<a rel="nofollow" class="external text" href="http://monographs.iarc.fr/ENG/Classification/Table4.pdf">原始内容</a> <span style="font-size:85%;">(PDF)</span>存档于2012年9月20日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Preventable+exposures+associated+with+human+cancers&amp;rft.au=Baan%2C+R&amp;rft.au=Benbrahim-Tallaa%2C+L&amp;rft.au=Bouvard%2C+V&amp;rft.au=El+Ghissassi%2C+F&amp;rft.au=Freeman%2C+C&amp;rft.au=Galichet%2C+L&amp;rft.au=Grosse%2C+Y&amp;rft.au=Guha%2C+N&amp;rft.au=Lauby-Secretan%2C+B&amp;rft.au=Straif%2C+K&amp;rft.au=Wild%2C+CP&amp;rft.aufirst=VJ&amp;rft.aulast=Cogliano&amp;rft.date=2011-12&amp;rft.genre=article&amp;rft.issue=24&amp;rft.jtitle=Journal+of+the+National+Cancer+Institute&amp;rft.pages=1827-39&amp;rft.volume=103&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3243677&amp;rft_id=http%3A%2F%2Fmonographs.iarc.fr%2FENG%2FClassification%2FTable4.pdf&amp;rft_id=info%3Adoi%2F10.1093%2Fjnci%2Fdjr483&amp;rft_id=info%3Apmid%2F22158127&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-60"><span class="mw-cite-backlink"><b><a href="#cite_ref-60">^</a></b></span> <span class="reference-text"><cite class="citation journal">Cooper WA, Lam DC, O'Toole SA, Minna JD. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3804875">Molecular biology of lung cancer</a>. 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October 2013,. 5 Suppl 5 (Suppl. 5): S479–90. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3804875"><span title="公共医学中心">PMC&#160;3804875</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/24163741"><span title="公共医学识别码">PMID&#160;24163741</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3978%2Fj.issn.2072-1439.2013.08.03"><span title="數位物件識別號">doi:10.3978/j.issn.2072-1439.2013.08.03</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20170910181827/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804875/pdf/jtd-05-S5-S479.pdf">存档</a> <span style="font-size:85%;">(PDF)</span>于2017年9月10日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Molecular+biology+of+lung+cancer&amp;rft.au=Lam%2C+DC&amp;rft.au=Minna%2C+JD&amp;rft.au=O%27Toole%2C+SA&amp;rft.aufirst=WA&amp;rft.aulast=Cooper&amp;rft.date=2013-10&amp;rft.genre=article&amp;rft.issue=Suppl.+5&amp;rft.jtitle=Journal+of+Thoracic+Disease&amp;rft.pages=S479-90&amp;rft.volume=5+Suppl+5&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3804875&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3804875&amp;rft_id=info%3Adoi%2F10.3978%2Fj.issn.2072-1439.2013.08.03&amp;rft_id=info%3Apmid%2F24163741&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-61"><span class="mw-cite-backlink"><b><a href="#cite_ref-61">^</a></b></span> <span class="reference-text"><cite class="citation book">Tobias J, Hochhauser D. 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Wiley-Blackwell. 2010: <a rel="nofollow" class="external text" href="https://archive.org/details/canceritsmanagem00tobi/page/200">200</a>. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-4051-7015-4" title="Special:网络书源/978-1-4051-7015-4"><span title="国际标准书号">ISBN</span>&#160;978-1-4051-7015-4</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+12&amp;rft.au=Hochhauser%2C+D&amp;rft.aufirst=J&amp;rft.aulast=Tobias&amp;rft.btitle=Cancer+and+its+Management&amp;rft.date=2010&amp;rft.edition=6th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-4051-7015-4&amp;rft.pages=200&amp;rft.pub=Wiley-Blackwell&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fcanceritsmanagem00tobi&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-NEJM-molecular-62"><span class="mw-cite-backlink">^ <a href="#cite_ref-NEJM-molecular_62-0"><sup><b>62.0</b></sup></a> <a href="#cite_ref-NEJM-molecular_62-1"><sup><b>62.1</b></sup></a> <a href="#cite_ref-NEJM-molecular_62-2"><sup><b>62.2</b></sup></a> <a href="#cite_ref-NEJM-molecular_62-3"><sup><b>62.3</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Herbst RS, Heymach JV, Lippman SM. <a rel="nofollow" class="external text" href="http://content.nejm.org/cgi/content/full/359/13/1367">Lung cancer</a>. The New England Journal of Medicine. September 2008, <b>359</b> (13): 1367–80. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/18815398"><span title="公共医学识别码">PMID&#160;18815398</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1056%2FNEJMra0802714"><span title="數位物件識別號">doi:10.1056/NEJMra0802714</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20080928073051/http://content.nejm.org/cgi/content/full/359/13/1367">存档</a>于2008年9月28日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Lung+cancer&amp;rft.au=Heymach%2C+JV&amp;rft.au=Lippman%2C+SM&amp;rft.aufirst=RS&amp;rft.aulast=Herbst&amp;rft.date=2008-09&amp;rft.genre=article&amp;rft.issue=13&amp;rft.jtitle=The+New+England+Journal+of+Medicine&amp;rft.pages=1367-80&amp;rft.volume=359&amp;rft_id=http%3A%2F%2Fcontent.nejm.org%2Fcgi%2Fcontent%2Ffull%2F359%2F13%2F1367&amp;rft_id=info%3Adoi%2F10.1056%2FNEJMra0802714&amp;rft_id=info%3Apmid%2F18815398&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Aviel-Ronen-63"><span class="mw-cite-backlink"><b><a href="#cite_ref-Aviel-Ronen_63-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Aviel-Ronen S, Blackhall FH, Shepherd FA, Tsao MS. K-ras mutations in non-small-cell lung carcinoma: a review. Clinical Lung Cancer (Cancer Information Group). July 2006, <b>8</b> (1): 30–8. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/16870043"><span title="公共医学识别码">PMID&#160;16870043</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3816%2FCLC.2006.n.030"><span title="數位物件識別號">doi:10.3816/CLC.2006.n.030</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=K-ras+mutations+in+non-small-cell+lung+carcinoma%3A+a+review&amp;rft.au=Blackhall%2C+FH&amp;rft.au=Shepherd%2C+FA&amp;rft.au=Tsao%2C+MS&amp;rft.aufirst=S&amp;rft.aulast=Aviel-Ronen&amp;rft.date=2006-07&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Clinical+Lung+Cancer&amp;rft.pages=30-8&amp;rft.volume=8&amp;rft_id=info%3Adoi%2F10.3816%2FCLC.2006.n.030&amp;rft_id=info%3Apmid%2F16870043&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-64"><span class="mw-cite-backlink"><b><a href="#cite_ref-64">^</a></b></span> <span class="reference-text"><cite class="citation book">Kumar V, Abbas AK, Aster JC. Chapter 5. <a rel="nofollow" class="external text" href="https://archive.org/details/robbinsbasicpath0000unse_c0q1">Robbins Basic Pathology</a> 9th. Elsevier Saunders. 2013: <a rel="nofollow" class="external text" href="https://archive.org/details/robbinsbasicpath0000unse_c0q1/page/n905">212</a>. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-4377-1781-5" title="Special:网络书源/978-1-4377-1781-5"><span title="国际标准书号">ISBN</span>&#160;978-1-4377-1781-5</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+5&amp;rft.au=Abbas%2C+AK&amp;rft.au=Aster%2C+JC&amp;rft.aufirst=V&amp;rft.aulast=Kumar&amp;rft.btitle=Robbins+Basic+Pathology&amp;rft.date=2013&amp;rft.edition=9th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-4377-1781-5&amp;rft.pages=212&amp;rft.pub=Elsevier+Saunders&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Frobbinsbasicpath0000unse_c0q1&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Jakopovic-65"><span class="mw-cite-backlink">^ <a href="#cite_ref-Jakopovic_65-0"><sup><b>65.0</b></sup></a> <a href="#cite_ref-Jakopovic_65-1"><sup><b>65.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Jakopovic, M; Thomas A; Balasubramaniam S. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210506022659/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793201/pdf/fonc-03-00261.pdf">Targeting the epigenome in lung cancer: expanding approaches to epigenetic therapy</a> <span style="font-size:85%;">(PDF)</span>. Frontiers in Oncology. 2013年10月, <b>3</b> (261) <span class="reference-accessdate"> &#91;<span class="nowrap">2015-08-04</span>&#93;</span>. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3793201"><span title="公共医学中心">PMC&#160;3793201</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/24130964"><span title="公共医学识别码">PMID&#160;24130964</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3389%2Ffonc.2013.00261"><span title="數位物件識別號">doi:10.3389/fonc.2013.00261</span></a>. (<a rel="nofollow" class="external text" href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793201/pdf/fonc-03-00261.pdf">原始内容</a> <span style="font-size:85%;">(PDF)</span>存档于2021-05-06).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Targeting+the+epigenome+in+lung+cancer%3A+expanding+approaches+to+epigenetic+therapy&amp;rft.au=Balasubramaniam+S&amp;rft.au=Thomas+A&amp;rft.aufirst=M&amp;rft.aulast=Jakopovic&amp;rft.date=2013-10&amp;rft.genre=article&amp;rft.issue=261&amp;rft.jtitle=Frontiers+in+Oncology&amp;rft.volume=3&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3793201&amp;rft_id=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3793201%2Fpdf%2Ffonc-03-00261.pdf&amp;rft_id=info%3Adoi%2F10.3389%2Ffonc.2013.00261&amp;rft_id=info%3Apmid%2F24130964&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Mulvihill-66"><span class="mw-cite-backlink">^ <a href="#cite_ref-Mulvihill_66-0"><sup><b>66.0</b></sup></a> <a href="#cite_ref-Mulvihill_66-1"><sup><b>66.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Mulvihill MS, Kratz JR, Pham P, Jablons DM, He B. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3845611">The role of stem cells in airway repair: implications for the origins of lung cancer</a>. Chinese Journal of Cancer. February 2013, <b>32</b> (2): 71–4. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3845611"><span title="公共医学中心">PMC&#160;3845611</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/23114089"><span title="公共医学识别码">PMID&#160;23114089</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.5732%2Fcjc.012.10097"><span title="數位物件識別號">doi:10.5732/cjc.012.10097</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=The+role+of+stem+cells+in+airway+repair%3A+implications+for+the+origins+of+lung+cancer&amp;rft.au=He%2C+B&amp;rft.au=Jablons%2C+DM&amp;rft.au=Kratz%2C+JR&amp;rft.au=Pham%2C+P&amp;rft.aufirst=MS&amp;rft.aulast=Mulvihill&amp;rft.date=2013-02&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=Chinese+Journal+of+Cancer&amp;rft.pages=71-4&amp;rft.volume=32&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3845611&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3845611&amp;rft_id=info%3Adoi%2F10.5732%2Fcjc.012.10097&amp;rft_id=info%3Apmid%2F23114089&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Powell_2013-67"><span class="mw-cite-backlink">^ <a href="#cite_ref-Powell_2013_67-0"><sup><b>67.0</b></sup></a> <a href="#cite_ref-Powell_2013_67-1"><sup><b>67.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Powell CA, Halmos B, Nana-Sinkam SP. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3778761">Update in lung cancer and mesothelioma 2012</a>. American Journal of Respiratory and Critical Care Medicine. July 2013, <b>188</b> (2): 157–66. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3778761"><span title="公共医学中心">PMC&#160;3778761</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/23855692"><span title="公共医学识别码">PMID&#160;23855692</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1164%2Frccm.201304-0716UP"><span title="數位物件識別號">doi:10.1164/rccm.201304-0716UP</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20170910181827/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3778761/pdf/rccm.201304-0716UP.pdf">存档</a> <span style="font-size:85%;">(PDF)</span>于2017年9月10日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Update+in+lung+cancer+and+mesothelioma+2012&amp;rft.au=Halmos%2C+B&amp;rft.au=Nana-Sinkam%2C+SP&amp;rft.aufirst=CA&amp;rft.aulast=Powell&amp;rft.date=2013-07&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=American+Journal+of+Respiratory+and+Critical+Care+Medicine&amp;rft.pages=157-66&amp;rft.volume=188&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3778761&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3778761&amp;rft_id=info%3Adoi%2F10.1164%2Frccm.201304-0716UP&amp;rft_id=info%3Apmid%2F23855692&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-68"><span class="mw-cite-backlink"><b><a href="#cite_ref-68">^</a></b></span> <span class="reference-text"><cite class="citation book">Ost D. Chapter 110: Approach to the patient with pulmonary nodules. Grippi MA, Elias JA, Fishman JA, Kotloff RM, Pack AI, Senior RM (编). <a rel="nofollow" class="external text" href="https://archive.org/details/fishmanspulmonar0001unse">Fishman's Pulmonary Diseases and Disorders</a> 5th. McGraw-Hill. 2015: 1685. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-07-179672-9" title="Special:网络书源/978-0-07-179672-9"><span title="国际标准书号">ISBN</span>&#160;978-0-07-179672-9</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+110%3A+Approach+to+the+patient+with+pulmonary+nodules&amp;rft.aufirst=D&amp;rft.aulast=Ost&amp;rft.btitle=Fishman%27s+Pulmonary+Diseases+and+Disorders&amp;rft.date=2015&amp;rft.edition=5th&amp;rft.genre=bookitem&amp;rft.isbn=978-0-07-179672-9&amp;rft.pages=1685&amp;rft.pub=McGraw-Hill&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Ffishmanspulmonar0001unse&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-69"><span class="mw-cite-backlink"><b><a href="#cite_ref-69">^</a></b></span> <span class="reference-text"><cite class="citation book">Miller, WT. 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McGraw-Hill. 2008: 486. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/0-07-145739-9" title="Special:网络书源/0-07-145739-9"><span title="国际标准书号">ISBN</span>&#160;0-07-145739-9</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.aufirst=WT&amp;rft.aulast=Miller&amp;rft.btitle=Fishman%27s+Pulmonary+Diseases+and+Disorders&amp;rft.date=2008&amp;rft.edition=4th&amp;rft.genre=book&amp;rft.isbn=0-07-145739-9&amp;rft.pages=486&amp;rft.pub=McGraw-Hill&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-70"><span class="mw-cite-backlink"><b><a href="#cite_ref-70">^</a></b></span> <span class="reference-text"><cite class="citation journal">Frank L, Quint LE. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3335330">Chest CT incidentalomas: thyroid lesions, enlarged mediastinal lymph nodes, and lung nodules</a>. Cancer Imaging. March 2012, <b>12</b> (1): 41–8. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3335330"><span title="公共医学中心">PMC&#160;3335330</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/22391408"><span title="公共医学识别码">PMID&#160;22391408</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1102%2F1470-7330.2012.0006"><span title="數位物件識別號">doi:10.1102/1470-7330.2012.0006</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chest+CT+incidentalomas%3A+thyroid+lesions%2C+enlarged+mediastinal+lymph+nodes%2C+and+lung+nodules&amp;rft.au=Quint%2C+LE&amp;rft.aufirst=L&amp;rft.aulast=Frank&amp;rft.date=2012-03&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Cancer+Imaging&amp;rft.pages=41-8&amp;rft.volume=12&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3335330&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3335330&amp;rft_id=info%3Adoi%2F10.1102%2F1470-7330.2012.0006&amp;rft_id=info%3Apmid%2F22391408&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-ACCPandATSfive-71"><span class="mw-cite-backlink">^ <a href="#cite_ref-ACCPandATSfive_71-0"><sup><b>71.0</b></sup></a> <a href="#cite_ref-ACCPandATSfive_71-1"><sup><b>71.1</b></sup></a> <a href="#cite_ref-ACCPandATSfive_71-2"><sup><b>71.2</b></sup></a> <a href="#cite_ref-ACCPandATSfive_71-3"><sup><b>71.3</b></sup></a> <a href="#cite_ref-ACCPandATSfive_71-4"><sup><b>71.4</b></sup></a></span> <span class="reference-text"><cite class="citation web">American College of Chest Physicians; American Thoracic Society. <a rel="nofollow" class="external text" href="http://www.choosingwisely.org/doctor-patient-lists/american-college-of-chest-physicians-and-american-thoracic-society/">Five Things Physicians and Patients Should Question</a>. <span class="ilh-all" data-orig-title="Choosing Wisely" data-lang-code="en" data-lang-name="英语" data-foreign-title="Choosing Wisely"><span class="ilh-page"><a href="/w/index.php?title=Choosing_Wisely&amp;action=edit&amp;redlink=1" class="new" title="Choosing Wisely(页面不存在)">Choosing Wisely</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Choosing_Wisely" class="extiw" title="en:Choosing Wisely"><span lang="en" dir="auto">Choosing Wisely</span></a></span>)</span></span>: an initiative of the <span class="ilh-all" data-orig-title="ABIM Foundation" data-lang-code="en" data-lang-name="英语" data-foreign-title="ABIM Foundation"><span class="ilh-page"><a href="/w/index.php?title=ABIM_Foundation&amp;action=edit&amp;redlink=1" class="new" title="ABIM Foundation(页面不存在)">ABIM Foundation</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/ABIM_Foundation" class="extiw" title="en:ABIM Foundation"><span lang="en" dir="auto">ABIM Foundation</span></a></span>)</span></span>. American College of Chest Physicians and American Thoracic Society. September 2013 <span class="reference-accessdate"> &#91;2013年1月6日&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20131103063427/http://www.choosingwisely.org/doctor-patient-lists/american-college-of-chest-physicians-and-american-thoracic-society/">存档</a>于2013年11月3日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Five+Things+Physicians+and+Patients+Should+Question&amp;rft.au=American+College+of+Chest+Physicians&amp;rft.au=American+Thoracic+Society&amp;rft.date=2013-09&amp;rft.genre=unknown&amp;rft.jtitle=%3Cspan+class%3D%22ilh-all+%22+data-orig-title%3D%22Choosing+Wisely%22+data-lang-code%3D%22en%22+data-lang-name%3D%22%E8%8B%B1%E8%AF%AD%22+data-foreign-title%3D%22Choosing+Wisely%22%3E%3Cspan+class%3D%22ilh-page%22%3EChoosing+Wisely%3C%2Fspan%3E%3Cspan+class%3D%22noprint+ilh-comment%22%3E%EF%BC%88%3Cspan+class%3D%22ilh-lang%22%3E%E8%8B%B1%E8%AF%AD%3C%2Fspan%3E%3Cspan+class%3D%22ilh-colon%22%3E%EF%BC%9A%3C%2Fspan%3E%3Cspan+class%3D%22ilh-link%22%3E-%7B%3Cspan+lang%3D%22en%22+dir%3D%22auto%22%3EChoosing+Wisely%3C%2Fspan%3E%7D-%3C%2Fspan%3E%EF%BC%89%3C%2Fspan%3E%3C%2Fspan%3E%3A+an+initiative+of+the+%3Cspan+class%3D%22ilh-all+%22+data-orig-title%3D%22ABIM+Foundation%22+data-lang-code%3D%22en%22+data-lang-name%3D%22%E8%8B%B1%E8%AF%AD%22+data-foreign-title%3D%22ABIM+Foundation%22%3E%3Cspan+class%3D%22ilh-page%22%3EABIM+Foundation%3C%2Fspan%3E%3Cspan+class%3D%22noprint+ilh-comment%22%3E%EF%BC%88%3Cspan+class%3D%22ilh-lang%22%3E%E8%8B%B1%E8%AF%AD%3C%2Fspan%3E%3Cspan+class%3D%22ilh-colon%22%3E%EF%BC%9A%3C%2Fspan%3E%3Cspan+class%3D%22ilh-link%22%3E-%7B%3Cspan+lang%3D%22en%22+dir%3D%22auto%22%3EABIM+Foundation%3C%2Fspan%3E%7D-%3C%2Fspan%3E%EF%BC%89%3C%2Fspan%3E%3C%2Fspan%3E&amp;rft_id=http%3A%2F%2Fwww.choosingwisely.org%2Fdoctor-patient-lists%2Famerican-college-of-chest-physicians-and-american-thoracic-society%2F&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-72"><span class="mw-cite-backlink"><b><a href="#cite_ref-72">^</a></b></span> <span class="reference-text"><cite class="citation journal">Gao, Jian-Wei; Rizzo, Stefania; Ma, Li-Hong; Qiu, Xiang-Yu; Warth, Arne; Seki, Nobuhiko; Hasegawa, Mizue; Zou, Jia-Wei; Li, Qian. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210506022713/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344841/">Pulmonary ground-glass opacity: computed tomography features, histopathology and molecular pathology</a>. Translational Lung Cancer Research. 2017-2, <b>6</b> (1): 68–75 <span class="reference-accessdate"> &#91;<span class="nowrap">2018-04-19</span>&#93;</span>. <a rel="nofollow" class="external text" href="//www.worldcat.org/issn/2218-6751"><span title="国际标准连续出版物号">ISSN&#160;2218-6751</span></a>. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC5344841"><span title="公共医学中心">PMC&#160;5344841</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/28331826"><span title="公共医学识别码">PMID&#160;28331826</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.21037%2Ftlcr.2017.01.02"><span title="數位物件識別號">doi:10.21037/tlcr.2017.01.02</span></a>. (<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344841/">原始内容</a>存档于2021-05-06).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Pulmonary+ground-glass+opacity%3A+computed+tomography+features%2C+histopathology+and+molecular+pathology&amp;rft.au=Hasegawa%2C+Mizue&amp;rft.au=Li%2C+Qian&amp;rft.au=Ma%2C+Li-Hong&amp;rft.au=Qiu%2C+Xiang-Yu&amp;rft.au=Rizzo%2C+Stefania&amp;rft.au=Seki%2C+Nobuhiko&amp;rft.au=Warth%2C+Arne&amp;rft.au=Zou%2C+Jia-Wei&amp;rft.aufirst=Jian-Wei&amp;rft.aulast=Gao&amp;rft.chron=2017-2&amp;rft.genre=article&amp;rft.issn=2218-6751&amp;rft.issue=1&amp;rft.jtitle=Translational+Lung+Cancer+Research&amp;rft.pages=68-75&amp;rft.volume=6&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5344841&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5344841%2F&amp;rft_id=info%3Adoi%2F10.21037%2Ftlcr.2017.01.02&amp;rft_id=info%3Apmid%2F28331826&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span> <span style="display:none;font-size:100%" class="error citation-comment">请检查<code style="color:inherit; border:inherit; padding:inherit;">&#124;date=</code>中的日期值 (<a href="/wiki/Help:%E5%BC%95%E6%96%87%E6%A0%BC%E5%BC%8F1%E9%94%99%E8%AF%AF#bad_date" title="Help:引文格式1错误">帮助</a>)</span></span> </li> <li id="cite_note-73"><span class="mw-cite-backlink"><b><a href="#cite_ref-73">^</a></b></span> <span class="reference-text"><cite class="citation journal">Migliore, Marcello; Fornito, Mariaconcetta; Palazzolo, Manuela; Criscione, Alessandra; Gangemi, Mariapia; Borrata, Francesco; Vigneri, Paolo; Nardini, Marco; Dunning, Joel. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210506024625/https://atm.amegroups.com/article/view/16332">Ground glass opacities management in the lung cancer screening era</a>. Annals of Translational Medicine. 2017-08-31, <b>6</b> (5) <span class="reference-accessdate"> &#91;<span class="nowrap">2018-04-19</span>&#93;</span>. <a rel="nofollow" class="external text" href="//www.worldcat.org/issn/2305-5847"><span title="国际标准连续出版物号">ISSN&#160;2305-5847</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.21037%2F16332"><span title="數位物件識別號">doi:10.21037/16332</span></a>. (<a rel="nofollow" class="external text" href="http://atm.amegroups.com/article/view/16332">原始内容</a>存档于2021-05-06).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Ground+glass+opacities+management+in+the+lung+cancer+screening+era&amp;rft.au=Borrata%2C+Francesco&amp;rft.au=Criscione%2C+Alessandra&amp;rft.au=Dunning%2C+Joel&amp;rft.au=Fornito%2C+Mariaconcetta&amp;rft.au=Gangemi%2C+Mariapia&amp;rft.au=Nardini%2C+Marco&amp;rft.au=Palazzolo%2C+Manuela&amp;rft.au=Vigneri%2C+Paolo&amp;rft.aufirst=Marcello&amp;rft.aulast=Migliore&amp;rft.date=2017-08-31&amp;rft.genre=article&amp;rft.issn=2305-5847&amp;rft.issue=5&amp;rft.jtitle=Annals+of+Translational+Medicine&amp;rft.volume=6&amp;rft_id=http%3A%2F%2Fatm.amegroups.com%2Farticle%2Fview%2F16332&amp;rft_id=info%3Adoi%2F10.21037%2F16332&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-74"><span class="mw-cite-backlink"><b><a href="#cite_ref-74">^</a></b></span> <span class="reference-text">本圖對於吸菸者的定義為現在正在抽菸者,或曾經吸菸超過一年者。詳細百分率請參考 <a href="https://commons.wikimedia.org/wiki/File:Pie_chart_of_lung_cancers.svg" class="extiw" title="commons:File:Pie chart of lung cancers.svg">維基共享資源</a>。參考文獻:<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044470/table/T2/">Table 2</a> <a href="/wiki/Wayback_Machine" class="mw-redirect" title="Wayback Machine">互联网档案馆</a>的<a rel="nofollow" class="external text" href="https://web.archive.org/web/20170910181827/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044470/table/T2/">存檔</a>,存档日期2017-09-10. in: <cite class="citation journal">Kenfield SA, Wei EK, Stampfer MJ, Rosner BA, Colditz GA. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3044470">Comparison of aspects of smoking among the four histological types of lung cancer</a>. Tobacco Control. June 2008, <b>17</b> (3): 198–204. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3044470"><span title="公共医学中心">PMC&#160;3044470</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/18390646"><span title="公共医学识别码">PMID&#160;18390646</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1136%2Ftc.2007.022582"><span title="數位物件識別號">doi:10.1136/tc.2007.022582</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Comparison+of+aspects+of+smoking+among+the+four+histological+types+of+lung+cancer&amp;rft.au=Colditz%2C+GA&amp;rft.au=Rosner%2C+BA&amp;rft.au=Stampfer%2C+MJ&amp;rft.au=Wei%2C+EK&amp;rft.aufirst=SA&amp;rft.aulast=Kenfield&amp;rft.date=2008-06&amp;rft.genre=article&amp;rft.issue=3&amp;rft.jtitle=Tobacco+Control&amp;rft.pages=198-204&amp;rft.volume=17&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3044470&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3044470&amp;rft_id=info%3Adoi%2F10.1136%2Ftc.2007.022582&amp;rft_id=info%3Apmid%2F18390646&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Robbins-75"><span class="mw-cite-backlink">^ <a href="#cite_ref-Robbins_75-0"><sup><b>75.0</b></sup></a> <a href="#cite_ref-Robbins_75-1"><sup><b>75.1</b></sup></a></span> <span class="reference-text"><cite class="citation book">Kumar V, Abbas AK, Aster JC. 12. <a rel="nofollow" class="external text" href="https://archive.org/details/robbinsbasicpath0000unse_c0q1">Robbins Basic Pathology</a> 9th. Elsevier Saunders. 2013: 505. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-4377-1781-5" title="Special:网络书源/978-1-4377-1781-5"><span title="国际标准书号">ISBN</span>&#160;978-1-4377-1781-5</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=12&amp;rft.au=Abbas%2C+AK&amp;rft.au=Aster%2C+JC&amp;rft.aufirst=V&amp;rft.aulast=Kumar&amp;rft.btitle=Robbins+Basic+Pathology&amp;rft.date=2013&amp;rft.edition=9th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-4377-1781-5&amp;rft.pages=505&amp;rft.pub=Elsevier+Saunders&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Frobbinsbasicpath0000unse_c0q1&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Subramanian-76"><span class="mw-cite-backlink"><b><a href="#cite_ref-Subramanian_76-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Subramanian J, Govindan R. Lung cancer in never smokers: a review. Journal of Clinical Oncology (American Society of Clinical Oncology). 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People's Medical Publishing House. 2010. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-1-60795-014-1" title="Special:网络书源/978-1-60795-014-1"><span title="国际标准书号">ISBN</span>&#160;978-1-60795-014-1</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=37%3A+Principles+of+Cancer+Pathology&amp;rft.au=Goldsmith%2C+JD&amp;rft.au=Wang%2C+HH&amp;rft.aufirst=JL&amp;rft.aulast=Connolly&amp;rft.btitle=Holland-Frei+Cancer+Medicine&amp;rft.date=2010&amp;rft.edition=8th&amp;rft.genre=bookitem&amp;rft.isbn=978-1-60795-014-1&amp;rft.pub=People%27s+Medical+Publishing+House&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AJCC8-82"><span class="mw-cite-backlink">^ <a href="#cite_ref-AJCC8_82-0"><sup><b>82.0</b></sup></a> <a href="#cite_ref-AJCC8_82-1"><sup><b>82.1</b></sup></a></span> <span class="reference-text"><cite class="citation journal">Detterbeck, Frank C.; Boffa, Daniel J.; Kim, Anthony W.; Tanoue, Lynn T. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220525063215/https://journal.chestnet.org/article/S0012-3692%2816%2960780-8/fulltext">The Eighth Edition Lung Cancer Stage Classification</a>. 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Annals of Thoracic and Cardiovascular Surgery. February 2009, <b>15</b> (1): 4–9. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/19262443"><span title="公共医学识别码">PMID&#160;19262443</span></a>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20120509223416/http://www.atcs.jp/pdf/2009_15_1/4.pdf">存档</a> <span style="font-size:85%;">(PDF)</span>于2012年5月9日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=The+revised+TNM+staging+system+for+lung+cancer&amp;rft.au=Crowley%2C+JJ&amp;rft.au=Goldstraw%2C+P&amp;rft.aufirst=R&amp;rft.aulast=Rami-Porta&amp;rft.date=2009-02&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Annals+of+Thoracic+and+Cardiovascular+Surgery&amp;rft.pages=4-9&amp;rft.volume=15&amp;rft_id=http%3A%2F%2Fwww.atcs.jp%2Fpdf%2F2009_15_1%2F4.pdf&amp;rft_id=info%3Apmid%2F19262443&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-84"><span class="mw-cite-backlink"><b><a href="#cite_ref-84">^</a></b></span> <span class="reference-text"><cite class="citation journal">Dela Cruz CS, Tanoue LT, Matthay RA. <a rel="nofollow" class="external text" href="https://archive.org/details/sim_clinics-in-chest-medicine_2011-12_32_4/page/605">Lung cancer: epidemiology, etiology, and prevention</a>. 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Thorax. 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April 2011, <b>91</b> (2): 403–17, ix. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3655433"><span title="公共医学中心">PMC&#160;3655433</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/21419260"><span title="公共医学识别码">PMID&#160;21419260</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.suc.2010.12.003"><span title="數位物件識別號">doi:10.1016/j.suc.2010.12.003</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Palliative+care+in+lung+cancer&amp;rft.au=Grannis%2C+F&amp;rft.au=Harrington%2C+A&amp;rft.au=Koczywas%2C+M&amp;rft.aufirst=B&amp;rft.aulast=Ferrell&amp;rft.date=2011-04&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=The+Surgical+Clinics+of+North+America&amp;rft.pages=403-17%2C+ix&amp;rft.volume=91&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3655433&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fsim_surgical-clinics-of-north-america_2011-04_91_2%2Fpage%2F403&amp;rft_id=info%3Adoi%2F10.1016%2Fj.suc.2010.12.003&amp;rft_id=info%3Apmid%2F21419260&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-107"><span class="mw-cite-backlink"><b><a href="#cite_ref-107">^</a></b></span> <span class="reference-text"><cite class="citation book">Chang L, Rivera MP. 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McGraw-Hill. 2015: 1728. <a href="/wiki/Special:%E7%BD%91%E7%BB%9C%E4%B9%A6%E6%BA%90/978-0-07-179672-9" title="Special:网络书源/978-0-07-179672-9"><span title="国际标准书号">ISBN</span>&#160;978-0-07-179672-9</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Chapter+112%3A+Clinical+evaluation%2C+diagnosis%2C+and+staging+of+lung+cancer&amp;rft.au=Rivera%2C+MP&amp;rft.aufirst=L&amp;rft.aulast=Chang&amp;rft.btitle=Fishman%27s+Pulmonary+Diseases+and+Disorders&amp;rft.date=2015&amp;rft.edition=5th&amp;rft.genre=bookitem&amp;rft.isbn=978-0-07-179672-9&amp;rft.pages=1728&amp;rft.pub=McGraw-Hill&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Ffishmanspulmonar0001unse&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-Fishman1855-108"><span class="mw-cite-backlink"><b><a href="#cite_ref-Fishman1855_108-0">^</a></b></span> <span class="reference-text"><cite class="citation book">Kaiser LR. 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December 2015, <b>7</b> (Suppl 4): S380–8. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC4700383"><span title="公共医学中心">PMC&#160;4700383</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/26807285"><span title="公共医学识别码">PMID&#160;26807285</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.3978%2Fj.issn.2072-1439.2015.12.55"><span title="數位物件識別號">doi:10.3978/j.issn.2072-1439.2015.12.55</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Past%2C+present%2C+and+future+of+endobronchial+laser+photoresection&amp;rft.au=Mehta%2C+AC&amp;rft.au=Wang%2C+KP&amp;rft.aufirst=D&amp;rft.aulast=Khemasuwan&amp;rft.date=2015-12&amp;rft.genre=article&amp;rft.issue=Suppl+4&amp;rft.jtitle=Journal+of+Thoracic+Disease&amp;rft.pages=S380-8&amp;rft.volume=7&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4700383&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4700383&amp;rft_id=info%3Adoi%2F10.3978%2Fj.issn.2072-1439.2015.12.55&amp;rft_id=info%3Apmid%2F26807285&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-152"><span class="mw-cite-backlink"><b><a href="#cite_ref-152">^</a></b></span> <span class="reference-text"><cite class="citation journal">Parikh RB, Kirch RA, Smith TJ, Temel JS. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3991113">Early specialty palliative care--translating data in oncology into practice</a>. 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June 2013, <b>30</b> (2): 93–8. <span class="plainlinks"><a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pmc/articles/PMC3709917"><span title="公共医学中心">PMC&#160;3709917</span></a>&#8239;<span typeof="mw:File"><span title="可免费查阅"><img alt="可免费查阅" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png" decoding="async" width="9" height="14" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/14px-Lock-green.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/65/Lock-green.svg/18px-Lock-green.svg.png 2x" data-file-width="512" data-file-height="813" /></span></span></span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/24436524"><span title="公共医学识别码">PMID&#160;24436524</span></a>. <a rel="nofollow" class="external text" href="https://doi.org/10.1055%2Fs-0033-1342949"><span title="數位物件識別號">doi:10.1055/s-0033-1342949</span></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Epidemiology+of+lung+cancer&amp;rft.au=Ginsberg%2C+MS&amp;rft.au=McErlean%2C+AM&amp;rft.aufirst=CA&amp;rft.aulast=Ridge&amp;rft.date=2013-06&amp;rft.genre=article&amp;rft.issue=2&amp;rft.jtitle=Seminars+in+Interventional+Radiology&amp;rft.pages=93-8&amp;rft.volume=30&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3709917&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3709917&amp;rft_id=info%3Adoi%2F10.1055%2Fs-0033-1342949&amp;rft_id=info%3Apmid%2F24436524&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-156"><span class="mw-cite-backlink"><b><a href="#cite_ref-156">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="http://www.cancerresearchuk.org/cancer-info/cancerstats/types/lung/survival/">Lung cancer survival statistics</a>. 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(原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20141009015127/http://www.cancerresearchuk.org/cancer-info/cancerstats/types/lung/survival/#stage">存档</a>于2014年10月9日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.btitle=Lung+cancer+survival+statistics&amp;rft.genre=unknown&amp;rft_id=http%3A%2F%2Fwww.cancerresearchuk.org%2Fcancer-info%2Fcancerstats%2Ftypes%2Flung%2Fsurvival%2F%23stage&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AUTOREF17-158"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF17_158-0">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://web.archive.org/web/20210828151905/https://www.ncbi.nlm.nih.gov/books/NBK65865/">Non-Small Cell Lung Cancer Treatment</a>. PDQ for Health Professionals. National Cancer Institute. <span class="reference-accessdate"> &#91;<span class="nowrap">2015-11-17</span>&#93;</span>. <a rel="nofollow" class="external text" href="//www.ncbi.nlm.nih.gov/pubmed/26389304"><span title="公共医学识别码">PMID&#160;26389304</span></a>. (<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0032637/">原始内容</a>存档于2021-08-28).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Non-Small+Cell+Lung+Cancer+Treatment&amp;rft.genre=unknown&amp;rft.jtitle=PDQ+for+Health+Professionals&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmedhealth%2FPMH0032637%2F&amp;rft_id=info%3Apmid%2F26389304&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AUTOREF18-159"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF18_159-0">^</a></b></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="https://www.cancer.gov/cancertopics/pdq/treatment/small-cell-lung/healthprofessional">Small Cell Lung Cancer Treatment</a>. PDQ for Health Professionals. National Cancer Institute. 2012 <span class="reference-accessdate"> &#91;2012年5月16日&#93;</span>. (原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20120513015218/http://cancer.gov/cancertopics/pdq/treatment/small-cell-lung/healthprofessional">存档</a>于2012年5月13日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=Small+Cell+Lung+Cancer+Treatment&amp;rft.date=2012&amp;rft.genre=unknown&amp;rft.jtitle=PDQ+for+Health+Professionals&amp;rft_id=http%3A%2F%2Fwww.cancer.gov%2Fcancertopics%2Fpdq%2Ftreatment%2Fsmall-cell-lung%2Fhealthprofessional&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-OTM-160"><span class="mw-cite-backlink"><b><a href="#cite_ref-OTM_160-0">^</a></b></span> <span class="reference-text"><cite class="citation book">Spiro SG. 18.19.1. Oxford Textbook Medicine 5th. 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(原始内容<a rel="nofollow" class="external text" href="https://web.archive.org/web/20070309064452/http://toxsci.oxfordjournals.org/cgi/content/full/64/1/4">存档</a>于2007年3月9日).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=A+short+history+of+lung+cancer&amp;rft.aufirst=H&amp;rft.aulast=Witschi&amp;rft.date=2001-11&amp;rft.genre=article&amp;rft.issue=1&amp;rft.jtitle=Toxicological+Sciences&amp;rft.pages=4-6&amp;rft.volume=64&amp;rft_id=http%3A%2F%2Ftoxsci.oxfordjournals.org%2Fcgi%2Fcontent%2Ffull%2F64%2F1%2F4&amp;rft_id=info%3Adoi%2F10.1093%2Ftoxsci%2F64.1.4&amp;rft_id=info%3Apmid%2F11606795&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span></span> </li> <li id="cite_note-AUTOREF29-186"><span class="mw-cite-backlink"><b><a href="#cite_ref-AUTOREF29_186-0">^</a></b></span> <span class="reference-text"><cite class="citation book">Adler, I. <a rel="nofollow" class="external text" href="https://archive.org/details/primarymalignant00adle">Primary Malignant Growths of the Lungs and Bronchi</a>. 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(<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pubmed/28502785">原始内容</a>存档于2020-05-17).</cite><span title="ctx_ver=Z39.88-2004&amp;rfr_id=info%3Asid%2Fzh.wikipedia.org%3A%E8%82%BA%E7%99%8C&amp;rft.atitle=CAR+T-cell+therapy+for+lung+cancer+and+malignant+pleural+mesothelioma&amp;rft.au=Adusumilli%2C+Prasad+S.&amp;rft.au=Dozier%2C+Jordan&amp;rft.au=McGee%2C+Erin&amp;rft.au=Ngai%2C+Daniel&amp;rft.aufirst=Masha&amp;rft.aulast=Zeltsman&amp;rft.chron=09+2017&amp;rft.genre=article&amp;rft.issn=1878-1810&amp;rft.jtitle=Translational+Research%3A+The+Journal+of+Laboratory+and+Clinical+Medicine&amp;rft.pages=1-10&amp;rft.volume=187&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC5581988&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F28502785&amp;rft_id=info%3Adoi%2F10.1016%2Fj.trsl.2017.04.004&amp;rft_id=info%3Apmid%2F28502785&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal" class="Z3988"><span style="display:none;">&#160;</span></span> 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0.25em"><div style="position:relative; float:right; font-size:0.8em;"> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q47912" title="編輯維基數據鏈接"><img alt="編輯維基數據鏈接" src="//upload.wikimedia.org/wikipedia/commons/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></div><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/%E7%96%BE%E7%97%85%E5%92%8C%E6%9C%89%E5%85%B3%E5%81%A5%E5%BA%B7%E9%97%AE%E9%A2%98%E7%9A%84%E5%9B%BD%E9%99%85%E7%BB%9F%E8%AE%A1%E5%88%86%E7%B1%BB" class="mw-redirect" title="疾病和有关健康问题的国际统计分类">ICD</a>-<a href="/wiki/ICD-10" title="ICD-10">10</a></b>:<a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/C33">C33</a>-<a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/C34">C34</a></li><li><b><a href="/wiki/%E7%96%BE%E7%97%85%E5%92%8C%E6%9C%89%E5%85%B3%E5%81%A5%E5%BA%B7%E9%97%AE%E9%A2%98%E7%9A%84%E5%9B%BD%E9%99%85%E7%BB%9F%E8%AE%A1%E5%88%86%E7%B1%BB" class="mw-redirect" title="疾病和有关健康问题的国际统计分类">ICD</a>-<a href="/wiki/ICD-9%E7%BC%96%E7%A0%81%E5%88%97%E8%A1%A8" title="ICD-9编码列表">9-CM</a></b>:<a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=162">162</a></li><li><b><a href="/wiki/%E4%BA%BA%E9%A1%9E%E5%AD%9F%E5%BE%B7%E7%88%BE%E9%81%BA%E5%82%B3%E5%AD%B8" title="人類孟德爾遺傳學">OMIM</a></b>:<a rel="nofollow" class="external text" href="https://omim.org/entry/211980">211980</a></li><li><b><a href="/wiki/%E5%8C%BB%E5%AD%A6%E4%B8%BB%E9%A2%98%E8%AF%8D" title="医学主题词">MeSH</a></b>:<a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D002283">D002283</a></li><li><b><a href="/wiki/%E7%96%BE%E7%97%85%E8%B3%87%E6%96%99%E5%BA%AB" title="疾病資料庫">DiseasesDB</a></b>:<a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb7616.htm">7616</a></li></ul></div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0">外部資源</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0px"><div style="padding:0em 0.25em"><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></b>:<a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/medlineplus/ency/article/007194.htm">007194</a></li><li><b><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></b>:<a rel="nofollow" class="external text" href="https://emedicine.medscape.com/med/1333-overview">med/1333</a> <a rel="nofollow" class="external text" href="http://www.emedicine.com/med/topic1336.htm">med/1336</a> <a rel="nofollow" class="external text" href="http://www.emedicine.com/emerg/topic335.htm">emerg/335</a> <a rel="nofollow" class="external text" href="http://www.emedicine.com/radio/topic807.htm">radio/807</a> <a rel="nofollow" class="external text" href="http://www.emedicine.com/radio/topic405.htm">radio/405</a> <a rel="nofollow" class="external text" href="http://www.emedicine.com/radio/topic406.htm">radio/406</a></li><li><b><a href="/w/index.php?title=Patient_UK&amp;action=edit&amp;redlink=1" class="new" title="Patient UK(页面不存在)">Patient UK</a></b>:<a rel="nofollow" class="external text" href="https://patient.info/doctor/lung-cancer-pro">肺癌</a></li><li><b><a href="/wiki/%E5%9B%BD%E5%AE%B6%E7%99%8C%E7%97%87%E7%A0%94%E7%A9%B6%E6%89%80" title="国家癌症研究所">NCI</a></b>:<a rel="nofollow" class="external text" href="https://www.cancer.gov/lung">肺癌</a></li></ul></div></div></td></tr></tbody></table></div> <style data-mw-deduplicate="TemplateStyles:r82655521">.mw-parser-output .side-box{margin:4px 0;box-sizing:border-box;border:1px solid #aaa;font-size:88%;line-height:1.25em;background-color:#f9f9f9;display:flow-root}.mw-parser-output .side-box-abovebelow,.mw-parser-output .side-box-text{padding:0.25em 0.9em}.mw-parser-output .side-box-image{padding:2px 0 2px 0.9em;text-align:center}.mw-parser-output .side-box-imageright{padding:2px 0.9em 2px 0;text-align:center}@media(min-width:500px){.mw-parser-output .side-box-flex{display:flex;align-items:center}.mw-parser-output .side-box-text{flex:1}}@media(min-width:720px){.mw-parser-output .side-box{width:238px}.mw-parser-output .side-box-right{clear:right;float:right;margin-left:1em}.mw-parser-output .side-box-left{margin-right:1em}}</style><div class="side-box side-box-right plainlinks sistersitebox" style="font-size:small;"><style data-mw-deduplicate="TemplateStyles:r82655520">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style> <div class="side-box-flex"> <div class="side-box-image"><span class="noviewer" typeof="mw:File"><span><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" decoding="async" width="30" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Commons-logo.svg/45px-Commons-logo.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/4a/Commons-logo.svg/59px-Commons-logo.svg.png 2x" data-file-width="1024" data-file-height="1376" /></span></span></div> <div class="side-box-text plainlist"><a href="/wiki/%E7%BB%B4%E5%9F%BA%E5%85%B1%E4%BA%AB%E8%B5%84%E6%BA%90" title="维基共享资源">维基共享资源</a>上的相关多媒体资源:<a href="https://commons.wikimedia.org/wiki/Category:Lung_cancers" class="extiw" title="commons:Category:Lung cancers"><span style="font-weight:bold;">肺癌</span></a></div></div> </div> <ul><li><a href="/wiki/%E5%BC%80%E6%94%BE%E5%BC%8F%E7%9B%AE%E5%BD%95" title="开放式目录">开放目录项目</a>中的“<a rel="nofollow" class="external text" href="https://curlie.org/Health/Conditions_and_Diseases/Cancer/Lung/">肺癌</a>”</li></ul> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84265675"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84261037"></div><div role="navigation" class="navbox" aria-labelledby="呼吸道中的肿瘤和瘤形成(C30–C34/D14,_160–163/212.0–212.4)" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="collapsible-title navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84265675"><style data-mw-deduplicate="TemplateStyles:r84244141">.mw-parser-output .navbar{display:inline;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:110%;margin:0 8em}.mw-parser-output .navbar-ct-mini{font-size:110%;margin:0 5em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:%E5%91%BC%E5%90%B8%E9%81%93%E8%82%BF%E7%98%A4" title="Template:呼吸道肿瘤"><abbr title="查看该模板">查</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:%E5%91%BC%E5%90%B8%E9%81%93%E8%82%BF%E7%98%A4" title="Template talk:呼吸道肿瘤"><abbr title="讨论该模板">论</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:%E7%BC%96%E8%BE%91%E9%A1%B5%E9%9D%A2/Template:%E5%91%BC%E5%90%B8%E9%81%93%E8%82%BF%E7%98%A4" title="Special:编辑页面/Template:呼吸道肿瘤"><abbr title="编辑该模板">编</abbr></a></li></ul></div><div id="呼吸道中的肿瘤和瘤形成(C30–C34/D14,_160–163/212.0–212.4)" style="font-size:110%;margin:0 5em"><a href="/wiki/%E5%91%BC%E5%90%B8%E9%81%93%E8%82%BF%E7%98%A4" class="mw-redirect" title="呼吸道肿瘤">呼吸道中的肿瘤和瘤形成</a>(<a href="/wiki/ICD-10_%E7%AC%AC%E4%BA%8C%E7%AB%A0%EF%BC%9A%E8%82%BF%E7%98%A4" title="ICD-10 第二章:肿瘤">C30–C34/D14</a>, <a href="/w/index.php?title=List_of_ICD-9_codes_140%E2%80%93239:_neoplasms&amp;action=edit&amp;redlink=1" class="new" title="List of ICD-9 codes 140–239: neoplasms(页面不存在)">160–163/212.0–212.4</a>)</div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/%E5%91%BC%E5%90%B8%E9%81%93" title="呼吸道">上呼吸道</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <dl><dt><i><a href="/wiki/%E9%BC%BB%E8%85%94" title="鼻腔">鼻腔</a></i></dt> <dd></dd> <dd><span class="ilh-all" data-orig-title="鼻腔神经胶质瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="Esthesioneuroblastoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%BC%BB%E8%85%94%E7%A5%9E%E7%BB%8F%E8%83%B6%E8%B4%A8%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="鼻腔神经胶质瘤(页面不存在)">鼻腔神经胶质瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Esthesioneuroblastoma" class="extiw" title="en:Esthesioneuroblastoma"><span lang="en" dir="auto">Esthesioneuroblastoma</span></a></span>)</span></span></dd></dl> <dl><dt><i><a href="/wiki/%E5%92%BD" title="咽">咽</a></i></dt> <dd></dd> <dd><a href="/wiki/%E9%BC%BB%E5%92%BD%E7%99%8C" title="鼻咽癌">鼻咽癌</a></dd> <dd><a href="/wiki/%E9%BC%BB%E5%92%BD%E8%A1%80%E7%AE%A1%E7%BA%A4%E7%BB%B4%E7%98%A4" title="鼻咽血管纤维瘤">鼻咽血管纤维瘤</a></dd></dl> <dl><dt><i><a href="/wiki/%E5%96%89%E9%A0%AD" class="mw-redirect" title="喉頭">喉頭</a></i></dt> <dd></dd> <dd><a href="/wiki/%E5%96%89%E7%99%8C" title="喉癌">喉癌</a></dd> <dd><a href="/wiki/%E5%96%89%E4%B9%B3%E9%A0%AD%E7%8B%80%E7%98%A4" title="喉乳頭狀瘤">喉乳頭狀瘤</a></dd></dl> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/%E5%91%BC%E5%90%B8%E9%81%93" title="呼吸道">下呼吸道</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/%E6%B0%A3%E7%AE%A1" title="氣管">氣管</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><span class="ilh-all" data-orig-title="气管肿瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="Tracheal tumor"><span class="ilh-page"><a href="/w/index.php?title=%E6%B0%94%E7%AE%A1%E8%82%BF%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="气管肿瘤(页面不存在)">气管肿瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Tracheal_tumor" class="extiw" title="en:Tracheal tumor"><span lang="en" dir="auto">Tracheal tumor</span></a></span>)</span></span></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a class="mw-selflink selflink">肺</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><span class="ilh-all" data-orig-title="非小细胞肺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Non-small-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E9%9D%9E%E5%B0%8F%E7%BB%86%E8%83%9E%E8%82%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="非小细胞肺癌(页面不存在)">非小细胞肺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Non-small-cell_lung_carcinoma" class="extiw" title="en:Non-small-cell lung carcinoma"><span lang="en" dir="auto">Non-small-cell lung carcinoma</span></a></span>)</span></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><span class="ilh-all" data-orig-title="肺鳞癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Squamous cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%B3%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺鳞癌(页面不存在)">肺鳞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Squamous_cell_lung_carcinoma" class="extiw" title="en:Squamous cell lung carcinoma"><span lang="en" dir="auto">Squamous cell lung carcinoma</span></a></span>)</span></span></li> <li><a href="/wiki/%E8%82%BA%E8%85%BA%E7%99%8C" title="肺腺癌">肺腺癌</a>(<span class="ilh-all" data-orig-title="肺部黏液性囊腺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Mucinous cystadenocarcinoma of the lung"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%83%A8%E9%BB%8F%E6%B6%B2%E6%80%A7%E5%9B%8A%E8%85%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺部黏液性囊腺癌(页面不存在)">黏液性囊腺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Mucinous_cystadenocarcinoma_of_the_lung" class="extiw" title="en:Mucinous cystadenocarcinoma of the lung"><span lang="en" dir="auto">Mucinous cystadenocarcinoma of the lung</span></a></span>)</span></span>)</li> <li><span class="ilh-all" data-orig-title="大细胞肺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Large-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E5%A4%A7%E7%BB%86%E8%83%9E%E8%82%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="大细胞肺癌(页面不存在)">大细胞肺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Large-cell_lung_carcinoma" class="extiw" title="en:Large-cell lung carcinoma"><span lang="en" dir="auto">Large-cell lung carcinoma</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="大细胞癌伴横纹肌样表型" data-lang-code="en" data-lang-name="英语" data-foreign-title="Large-cell lung carcinoma with rhabdoid phenotype"><span class="ilh-page"><a href="/w/index.php?title=%E5%A4%A7%E7%BB%86%E8%83%9E%E7%99%8C%E4%BC%B4%E6%A8%AA%E7%BA%B9%E8%82%8C%E6%A0%B7%E8%A1%A8%E5%9E%8B&amp;action=edit&amp;redlink=1" class="new" title="大细胞癌伴横纹肌样表型(页面不存在)">Rhabdoid carcinoma</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Large-cell_lung_carcinoma_with_rhabdoid_phenotype" class="extiw" title="en:Large-cell lung carcinoma with rhabdoid phenotype"><span lang="en" dir="auto">Large-cell lung carcinoma with rhabdoid phenotype</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="肉瘤样癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Sarcomatoid carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%89%E7%98%A4%E6%A0%B7%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肉瘤样癌(页面不存在)">肉瘤样癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Sarcomatoid_carcinoma" class="extiw" title="en:Sarcomatoid carcinoma"><span lang="en" dir="auto">Sarcomatoid carcinoma</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="典型肺类癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Typical pulmonary carcinoid tumour"><span class="ilh-page"><a href="/w/index.php?title=%E5%85%B8%E5%9E%8B%E8%82%BA%E7%B1%BB%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="典型肺类癌(页面不存在)">类癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Typical_pulmonary_carcinoid_tumour" class="extiw" title="en:Typical pulmonary carcinoid tumour"><span lang="en" dir="auto">Typical pulmonary carcinoid tumour</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="肺部涎腺样癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Salivary gland-like carcinoma of the lung"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%83%A8%E6%B6%8E%E8%85%BA%E6%A0%B7%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺部涎腺样癌(页面不存在)">肺部涎腺样癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Salivary_gland-like_carcinoma_of_the_lung" class="extiw" title="en:Salivary gland-like carcinoma of the lung"><span lang="en" dir="auto">Salivary gland-like carcinoma of the lung</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="腺鳞癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Adenosquamous carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E8%85%BA%E9%B3%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="腺鳞癌(页面不存在)">腺鳞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Adenosquamous_carcinoma" class="extiw" title="en:Adenosquamous carcinoma"><span lang="en" dir="auto">Adenosquamous carcinoma</span></a></span>)</span></span></li> <li><a href="/wiki/%E4%B9%B3%E5%A4%B4%E7%8A%B6%E8%85%BA%E7%99%8C" class="mw-redirect" title="乳头状腺癌">乳头状腺癌</a></li> <li><span class="ilh-all" data-orig-title="肺巨细胞癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Giant-cell carcinoma of the lung"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E5%B7%A8%E7%BB%86%E8%83%9E%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="肺巨细胞癌(页面不存在)">巨细胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Giant-cell_carcinoma_of_the_lung" class="extiw" title="en:Giant-cell carcinoma of the lung"><span lang="en" dir="auto">Giant-cell carcinoma of the lung</span></a></span>)</span></span></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/%E5%B0%8F%E7%BB%86%E8%83%9E%E7%99%8C" title="小细胞癌">小细胞癌</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><span class="ilh-all" data-orig-title="复合性小细胞肺癌" data-lang-code="en" data-lang-name="英语" data-foreign-title="Combined small-cell lung carcinoma"><span class="ilh-page"><a href="/w/index.php?title=%E5%A4%8D%E5%90%88%E6%80%A7%E5%B0%8F%E7%BB%86%E8%83%9E%E8%82%BA%E7%99%8C&amp;action=edit&amp;redlink=1" class="new" title="复合性小细胞肺癌(页面不存在)">复合性小细胞癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Combined_small-cell_lung_carcinoma" class="extiw" title="en:Combined small-cell lung carcinoma"><span lang="en" dir="auto">Combined small-cell lung carcinoma</span></a></span>)</span></span></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">非<a href="/wiki/%E7%99%8C" title="癌">癌</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/wiki/%E8%82%89%E7%98%A4" title="肉瘤">肉瘤</a></li> <li><a href="/wiki/%E6%B7%8B%E5%B7%B4%E7%98%A4" title="淋巴瘤">淋巴瘤</a></li> <li><span class="ilh-all" data-orig-title="未成熟畸胎瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="Immature teratoma"><span class="ilh-page"><a href="/w/index.php?title=%E6%9C%AA%E6%88%90%E7%86%9F%E7%95%B8%E8%83%8E%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="未成熟畸胎瘤(页面不存在)">未成熟畸胎瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Immature_teratoma" class="extiw" title="en:Immature teratoma"><span lang="en" dir="auto">Immature teratoma</span></a></span>)</span></span></li> <li><a href="/wiki/%E9%BB%91%E8%89%B2%E7%B4%A0%E7%98%A4" title="黑色素瘤">黑色素瘤</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">按位置</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><span class="ilh-all" data-orig-title="肺尖肿瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="Pancoast tumor"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E5%B0%96%E8%82%BF%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="肺尖肿瘤(页面不存在)">肺尖肿瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Pancoast_tumor" class="extiw" title="en:Pancoast tumor"><span lang="en" dir="auto">Pancoast tumor</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="孤立性肺结节" data-lang-code="en" data-lang-name="英语" data-foreign-title="Solitary pulmonary nodule"><span class="ilh-page"><a href="/w/index.php?title=%E5%AD%A4%E7%AB%8B%E6%80%A7%E8%82%BA%E7%BB%93%E8%8A%82&amp;action=edit&amp;redlink=1" class="new" title="孤立性肺结节(页面不存在)">孤立性肺结节</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Solitary_pulmonary_nodule" class="extiw" title="en:Solitary pulmonary nodule"><span lang="en" dir="auto">Solitary pulmonary nodule</span></a></span>)</span></span></li> <li><span class="ilh-all" data-orig-title="肺门" data-lang-code="en" data-lang-name="英语" data-foreign-title="Hilum of lung"><span class="ilh-page"><a href="/w/index.php?title=%E8%82%BA%E9%97%A8&amp;action=edit&amp;redlink=1" class="new" title="肺门(页面不存在)">中央型肺癌</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/Hilum_of_lung" class="extiw" title="en:Hilum of lung"><span lang="en" dir="auto">Hilum of lung</span></a></span>)</span></span></li> <li><a href="/wiki/%E5%B0%8F%E6%94%AF%E6%B0%A3%E7%AE%A1" title="小支氣管">周围型肺癌</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/%E8%83%B8%E8%86%9C%E8%85%94" title="胸膜腔">胸膜腔</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/wiki/%E9%96%93%E7%9A%AE%E7%98%A4" title="間皮瘤">間皮瘤</a></li> <li><a href="/wiki/%E6%81%B6%E6%80%A7" title="恶性">恶性</a><span class="ilh-all" data-orig-title="孤立性纤维性肿瘤" data-lang-code="en" data-lang-name="英语" data-foreign-title="solitary fibrous tumor"><span class="ilh-page"><a href="/w/index.php?title=%E5%AD%A4%E7%AB%8B%E6%80%A7%E7%BA%A4%E7%BB%B4%E6%80%A7%E8%82%BF%E7%98%A4&amp;action=edit&amp;redlink=1" class="new" title="孤立性纤维性肿瘤(页面不存在)">孤立性纤维性肿瘤</a></span><span class="noprint ilh-comment">(<span class="ilh-lang">英语</span><span class="ilh-colon">:</span><span class="ilh-link"><a href="https://en.wikipedia.org/wiki/solitary_fibrous_tumor" class="extiw" title="en:solitary fibrous tumor"><span lang="en" dir="auto">solitary fibrous tumor</span></a></span>)</span></span></li></ul> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84265675"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r84261037"><style data-mw-deduplicate="TemplateStyles:r79005747">.mw-parser-output .tooltip-dotted{border-bottom:1px dotted;cursor:help}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r79005747"></div><div role="navigation" class="navbox authority-control" aria-label="Navbox" style="padding:3px"><table class="nowraplinks hlist navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="row" 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