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1.
Rev. chil. obstet. ginecol ; 78(3): 240-243, 2013. ilus
Article in Spanish | LILACS | ID: lil-687166

ABSTRACT

La incidencia de cáncer de pulmón sigue aumentando, sobre todo en las mujeres y, aunque las metástasis en ovario son raras, hay que tenerla en cuenta en el estudio de extensión y seguimiento del mismo, porque en la mayoría de los casos en el momento del diagnóstico se verifica diseminación a distancia. Presentamos el caso de una paciente de 29 años en la que se planteó duda diagnóstica inicialmente entre tumor ovárico maligno con metástasis pulmonares versus linfoma, llegándose al diagnóstico final de carcinoma de células pequeñas tipo oat-cell de pulmón con metástasis ováricas.


The incidence of lung cancer is increasing, especially in women, and although metastasis in the ovary is uncommon it should be taken into account in the extension study and monitoring of the same because distant spread is verified in most cases at the time of diagnosis. We report the case of a 29-year-old patient which diagnostic doubt arose initially from malignant ovarian tumor with lung metastases or lymphoma, and she came to the final diagnosis of small cell carcinoma oat-cell type of lung with ovarian metastases.


Subject(s)
Humans , Female , Adult , Carcinoma, Small Cell/diagnosis , Carcinoma, Small Cell/pathology , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/secondary , Lung Neoplasms/diagnosis , Lung Neoplasms/pathology , Carcinoma, Small Cell/drug therapy , Diagnosis, Differential , Lung Neoplasms/drug therapy
2.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 40-44, 2012.
Article in English | WPRIM | ID: wpr-71949

ABSTRACT

BACKGROUND: The experience of a single-institution regarding surgery for small cell lung cancer (SCLC) was reviewed to evaluate the surgical outcomes and prognoses. MATERIALS AND METHODS: From July 1990 to December 2009, thirty-four patients (28 male) underwent major pulmonary resection and lymph node dissection for SCLC. Lobectomy was performed in 24 patients, pneumonectomy in eight, bilobectomy in one, and segmentectomy in one. Surgical complications, mortality, the disease-free survival (DFS) rate, and the overall survival rate were analyzed retrospectively. RESULTS: The median follow-up period was 26 months (range, 4 to 241 months), and there was one surgical mortality (2.9%). Six patients (17.6%) experienced recurrence, all of which were systemic. Eight patients died during follow-up; four died of disease progression and the other four died of pneumonia or of another non-cancerous cause. The three-year DFS rate was 79.2+/-2.6% and the overall survival rate was 66.4+/-10.5%. Recurrence or death was significantly prevalent in the patients with lymph node metastasis (p=0.001) as well as in those who did not undergo adjuvant chemotherapy (p=0.008). The three-year survival rate was significantly greater in the patients with pathologic stage I/II cancer than in those with stage III cancer (84% vs. 13%, p=0.001). CONCLUSION: Major pulmonary resection for small cell lung cancer is feasible in selected patients. Patients with pathologic stage I or II disease showed an excellent survival rate after surgery and adjuvant treatment. Prospective randomized studies will be needed to define the role of surgery in early-stage small cell lung cancer.


Subject(s)
Humans , Carcinoma, Small Cell , Chemotherapy, Adjuvant , Disease Progression , Disease-Free Survival , Follow-Up Studies , Lung Neoplasms , Lymph Node Excision , Lymph Nodes , Mastectomy, Segmental , Neoplasm Metastasis , Pneumonectomy , Pneumonia , Recurrence , Small Cell Lung Carcinoma , Survival Rate
3.
Pulmäo RJ ; 10(3): 24-28, 2001. tab, ilus
Article in Portuguese | LILACS | ID: lil-764321

ABSTRACT

Os autores descrevem um caso de adenocarcinoma pulmonar mimetizando um carcinoma de pequenas células, avaliando as manifestações clínicas, a agressividade, localização e disseminação comparando com o padrão descrito na literatura.


The author describe a report of lung's adenocarcinoma care imiting a carcinoma of oat cell, estimating the clinical display, the agressivity, site and measure spread described in the literature.


Subject(s)
Humans , Male , Adult , Adenocarcinoma , Lung Neoplasms , Neoplasm Metastasis
4.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 757-760, 1999.
Article in Korean | WPRIM | ID: wpr-207735

ABSTRACT

A rare small cell carcinoma of the trachea was managed in a 59 year old female patient. The diagnosis was confirmed by histopathological and immunohistochemical studies. Surgical resection and adjuvant chemotherapy were done. The patient died 6 months later due to multiple metastasis.


Subject(s)
Female , Humans , Middle Aged , Carcinoma, Small Cell , Chemotherapy, Adjuvant , Diagnosis , Neoplasm Metastasis , Trachea , Tracheal Neoplasms
5.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 1195-1199, 1998.
Article in Korean | WPRIM | ID: wpr-187432

ABSTRACT

Bafckground: Thr role and indication of surgery in the treatment of small cell lung cancer (SCLC) is currently limited and unsettled. MATERIAL AND METHOD: We analyzed the surgical results of 9 patients with SCLC at Yosei Medical Center from January 1990 to December 1996. There were 8 males and 1 female, and their mean age was 57.2 years (range; 35-76). Preoperatively SCLC was confirmed in 5, but the other 4 cases were diagnosed as undifferentiated squamous cell carcinoma. All patients underwent pulmoinary resection (lobectomy;5, lobectomy, segmentectomy and en-bloc resection of rib;1, bilobectomy; 2, pneumonectomy;1) and mediastinal lymph node dissection. RESULTS: There were no operative mortality with two complications (postoperative bleeding;1, arrhythmia;1). All cases were diagnosed as SCLC histologically and their TNM staging were confirmed as follows: T1N0M0;1, T2N0M0;4, T3N0M0;1, T3N1M0;1, T2N2M0; 1, T4N0M0;1. All patients had received postoperative chemotherapy, and radiotherapy was combined in 4 patients. During follow up period (range 1-63 months; mean 33.0months), there was only one metastasis to pelvic bone among 8 patients without lymph node metastasis, and all patients were alive. On the other hand, among 3 patients who had regional and/or mediastinal lymph node metastasis or T4 lesion, all patients had recurrences (local;2, brain;1), and 2 patients died. CONCLUSION: We suggest that the use of TNM staging is beneficial, and surgical resection should be recommended in the patients with early staged SCLC as an important treatment modality.


Subject(s)
Female , Humans , Male , Carcinoma, Squamous Cell , Drug Therapy , Follow-Up Studies , Hand , Lymph Node Excision , Lymph Nodes , Mastectomy, Segmental , Mortality , Neoplasm Metastasis , Neoplasm Staging , Pelvic Bones , Radiotherapy , Recurrence , Small Cell Lung Carcinoma
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