| Objects: The pathological type,sex,age,and distribution of tongue picture of distant metastasis of lung cancer were collected and analyzed in order to explore the role of pathological type and tongue image in the location of metastasis of lung cancer.To provide the basis for the prevention and treatment of lung cancer metastasis with traditional Chinese medicine.Methods: By retrospective analysis,the metastatic cases of lung cancer were searched and screened by electronic case system.The metastatic location,pathological type,tongue image data were collected and analyzed by ?2 test using SPASS 19.0 software.Results: A total of 243 patients with distant metastasis of lung cancer were collected in this study.Metastatic sites and pathological types: 99 cases of bone metastasis 40.74%,41 cases of brain metastasis 16.87%,33 cases of liver metastasis13.58%,16 cases of adrenal metastasis 6.58%,54 cases of multiple metastases22.22%.Sex distribution: among 243 patients with distant metastasis of lung cancer,161 were male,82 were female,and the most common metastatic sites were bone metastasis,which were 37.89 %and 46.34%,respectively,followed by multiple metastases,which were 22.98% and 20.73% respectively.The most common pathological types were adenocarcinoma 58.39% and squamous cell carcinoma22.36 %,13.41%.There were 160 cases of adenocarcinoma 65.84%.The age distribution of 243 patients with lung cancer metastasis was 86 years old and 34 years old,with an average age of 62.21 ±10.15 years.The age of patients with metastatic sites was 60-69 years.The pathological types of different metastatic sites: bone metastasis,brain metastasis,adrenal metastasis,and multiple metastases were the highest in adenocarcinoma,which were 74.75%,68.85%,68.75 %,70.37%,respectively.The pathological types of liver metastasis were small cell carcinoma(SCC),which accounted for 45.45%.Tongue color distribution: The most common cases of bone metastasis were red tongue and bluish purple tongue,respectively,33.33% and 22.22%,respectively.The most common type of brain metastasis is red tongue 31.70%.The liver metastases were blue and purple,and the most common ones were 39.39% and 24.24% respectively.Multiple metastases with red tongue,pale tongue the most common 29.63%,25.93%.The composition of liver metastases was statistically different from other metastatic sites.The distribution of moss quality: the highest percentage of greasy fur in patients with metastasis of lung cancer was59.26%,in which bone metastasis was 58.59%,brain metastasis was 56.10%,liver metastasis was 57.56%,adrenal metastasis was 56.25% and multiple metastasis was57.40%.There was no significant difference in the occurrence rate of various types of mosses in patients with different metastatic sites of lung cancer.Tongue coating color:the distribution of moss color was different in patients with advanced metastasis of lung cancer,with statistical significance.The most common was white fur 51.03%,followed by yellow fur 36.21% and flaking fur 11.52%.However,there was no significant difference in the occurrence rate of various kinds of fur color among different distant metastatic sites.Conclusions: 1.The most distant metastatic sites of lung cancer patients were bone metastasis,and the most pathological types were adenocarcinoma.2.Sex had no obvious effect on metastasis site of lung cancer patients with distant metastasis,but the composition of adenocarcinoma in women was significantly different from that in men,suggesting that the pathological types of patients with distant metastasis of lung cancer were related to adenocarcinoma in women.3.The age of patients with different metastatic sites and pathological types of lung cancer was the highest at 60-69 years of age,but age had no significant effect on metastasis sites and pathological types.4.The location of distant metastasis of lung cancer is related to the pathological type.The pathological type of liver metastasis of lung cancer is mostly small cell carcinoma,indicating that small cell carcinoma may indicate liver metastasis.5.The composition of cyanotic tongue in patients with liver metastasis is different from that in other distant metastases,which suggests that cyanotic tongue may be used as a reference for judging liver metastasis.6.There was no significant difference in tongue shape between different distant metastatic sites of lung cancer.7.The proportion ofgreasy fur was the highest in patients with different distant metastasis of lung cancer,which indicated that there was correlation between greasy fur and distal metastasis,but it had no obvious effect on metastasis.8.The color distribution of white fur was the most in patients with different distant metastatic sites of lung cancer,but the change of fur color had no obvious effect on distant metastasis of lung cancer. |
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