ABSTRACT
The authors conducted a comparative study of x-ray and radionuclide investigations of 203 lung cancer patients. The potentialities of each method were shown for metastatic lesions of the lymph nodes of the root of the lungs and mediastinum. The results obtained are indicative of the fact that these methods improve preoperative diagnosis of regional metastatic spreading in lung cancer that is very important for a design of therapeutic tactics.
Subject(s)
Lung Neoplasms , Lymphatic Metastasis/diagnostic imaging , Citrates , Citric Acid , Evaluation Studies as Topic , Humans , Male , Mediastinum , Middle Aged , Radionuclide Imaging , Thorax , Tomography, X-RaySubject(s)
Lung Neoplasms/pathology , Lymphomatoid Granulomatosis/pathology , Humans , Lung/pathology , Male , Middle AgedSubject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Small Cell/drug therapy , Lung Neoplasms/drug therapy , Adult , Aged , Carcinoma, Small Cell/mortality , Carcinoma, Small Cell/radiotherapy , Combined Modality Therapy , Drug Evaluation , Female , Humans , Lung Neoplasms/mortality , Lung Neoplasms/radiotherapy , Male , Middle Aged , Radiotherapy Dosage , Time FactorsABSTRACT
The study was concerned with description of roentgenologic semeiotics of central and peripheral small cell lung cancer in 141 patients receiving chemoradiation therapy. The frequency of carcinoma metastasis into intrathoracic lymph nodes was high. Small cell lung cancer showed a good response to conservative treatment, which, in particular, manifested itself in regression of metastases into intrathoracic lymph nodes.
Subject(s)
Carcinoma, Small Cell/diagnostic imaging , Lung Neoplasms/diagnostic imaging , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Small Cell/drug therapy , Carcinoma, Small Cell/radiotherapy , Combined Modality Therapy , Female , Humans , Lung Neoplasms/drug therapy , Lung Neoplasms/radiotherapy , Male , Middle Aged , RadiographyABSTRACT
The results of an analysis of 13 cases showed that isolated intrathoracic metastases of synovial sarcoma may be treated surgically if there are no recurrences. Since response of metastases to preoperative chemotherapy was registered in 3 out 6 patients, it is suggested that research in this problem should be recommended. A similar approach should be used in postoperative antitumor medication of cases of newly-detected lung metastases.
Subject(s)
Bone Neoplasms/secondary , Lung Neoplasms/secondary , Ribs , Sarcoma, Synovial/surgery , Sarcoma/surgery , Adolescent , Adult , Bone Neoplasms/mortality , Bone Neoplasms/surgery , Female , Humans , Leg , Lung Neoplasms/mortality , Lung Neoplasms/surgery , Male , Middle Aged , Pneumonectomy , Postoperative Care , Preoperative Care , Ribs/surgery , Sarcoma/mortality , Sarcoma, Synovial/mortality , ThoraxABSTRACT
Spontaneous pneumothorax is a rare complication of metastatic lesions of the lung. Treatment was given to 111 cases of synovial sarcoma at the Center Clinics in 1975-1981, lung metastases being in 53 cases (47.7%). Spontaneous pneumothorax was registered in 4 patients (3.6%) out of the total number of cases and in 7.55% of those with lung metastases. Three cases of spontaneous pneumothorax and lung metastases of synovial sarcoma revealed no symptoms. Therapeutic effect was obtained by conservative treatment. The risk of spontaneous pneumothorax in cases of lung metastases is increased after chemotherapy, which may be associated with the disintegration of subpleural metastases. Pneumothorax did not interfere with repeated courses of chemotherapy.
