ABSTRACT
Incidence of lung cancer associated with secondary paracancerous changes is known to range 13.7-30%. Since they reveal such clinical symptoms as pneumonia or empyema, most out-patients with complicated cancers are referred to general wards. Inflammatory parenchymal pathology may be conducive to false-positive or -negative diagnosis even when highly-sophisticated radiation procedures are used.
Subject(s)
Lung Neoplasms/diagnosis , Lung Neoplasms/therapy , Precancerous Conditions/complications , Thoracic Cavity , Thoracic Neoplasms/complications , Aged , Diagnosis, Differential , Empyema/etiology , False Negative Reactions , False Positive Reactions , Female , Humans , Lung Neoplasms/complications , Male , Middle Aged , Pneumonia/etiologyABSTRACT
An experience with diagnostics and surgical treatment of 291 patients with complicated course of lung cancer is described with special reference to specificities of the clinical course, preoperative management and operation technique. It was shown that the purposeful preoperative management allowed the assessment of the patients, previously thought to be inoperable, to be revised in 25% of cases, and the frequency of postoperative complications and lethality to be reduced to 14 and 3.5% respectively. The 5 year survival of lung cancer patients with paracancrous alterations was 20.7%.
