Diagnosis and surgical treatment of metachronous second primary lung cancer / 中华外科杂志
Chinese Journal of Surgery
; (12): 348-350, 2005.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-264510
Biblioteca responsável:
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:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Outras Doenças Respiratórias
/
Neoplasias do Pulmão, Traqueia e Brônquios
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Pneumonectomia
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Prognóstico
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Cirurgia Geral
/
Estudos Retrospectivos
/
Mortalidade
/
Segunda Neoplasia Primária
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Diagnóstico
/
Neoplasias Pulmonares
/
Excisão de Linfonodo
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2005
Tipo de documento:
Artigo