Diagnosis and surgical treatment of metachronous second primary lung cancer / 中华外科杂志
Zhonghua Wai Ke Za Zhi
; (12): 348-350, 2005.
Article
en Zh
| WPRIM
| ID: wpr-264510
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To review the experience of the diagnosis, surgical treatment and prognosis of metachronous second primary lung cancers.</p><p><b>METHODS</b>Between January 1983 and April 2004, 32 patients with metachronous second primary lung cancers were operated in our department. Clinical data of all these patients were reviewed retrospectively.</p><p><b>RESULTS</b>The initial procedures for their first primary lung cancers were lobectomy or pneumonectomy. Lobectomy or completion pneumonectomy for the second primary lung cancers were performed in 17 cases, limited pulmonary resection was done in 14 cases and exploration was in 1 case. The postoperative morbidity and mortality were 12% (4/32) and 3% (1/32), respectively. The 1-, 3-, and 5-year survival rate after second operation were 66% (19/29), 32% (9/28) and 19% (4/21), respectively.</p><p><b>CONCLUSIONS</b>The incidence of metachronous second primary lung cancers has been increasing gradually during recent years. The closely follow-up for patients undergoing resection for their first primary lung cancers is most important factor for improvement of the diagnosis of metachronous second primary lung cancers. Limited resection and incomplete lymph node dissection might be the factors contributing to the poor prognosis.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Patología
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Neumonectomía
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Pronóstico
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Cirugía General
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Estudios Retrospectivos
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Mortalidad
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Neoplasias Primarias Secundarias
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Diagnóstico
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Neoplasias Pulmonares
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Escisión del Ganglio Linfático
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2005
Tipo del documento:
Article