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Long-term Survivors after Pulmonary Resection for Bronchogenic Carcinoma


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Title: Long-term Survivors after Pulmonary Resection for Bronchogenic Carcinoma
Authors: Ayabe, Hiroyoshi / Kawahara, Katsunobu / Tagawa, Yutaka / Hara, Shinsuke / Tsuij, Hiroharu / Oka, Tadayuki / Tomita, Masao
Issue Date: 14-Dec-1990
Citation: Acta medica Nagasakiensia. 1990, 35(1-4), p.152-156
Abstract: Surgical resection is the most useful modality of treatment for patients with lung cancer. However, two third of the patients who underwent pulmonary resection died within 5 years after operation due to recurrent diseases. This study reviewed long-term survivors (more than 10 years after lung resection) and examined the factors relating to prognosis and the quality of life of the patients after 10 years. Two-hundred and forty-nine patients underwent pulmonary resections for bronchogenic carcinoma in the First Department of Surgery of Nagasaki University Hospital between 1955 -and 1978. Among 237 who tolarated operations, 32 patients (13.5%) survived more than 10 years after pulmonary resections. There were 23 men and 9 women. Among the patients with stage I, 25/85 (29.4%) survived more than 10 years, while in the cases with Stage III, only 3/122 (2%) survived. There was no difference with survival rate between the patients with squamous cell carcinoma and those with adenocarnoma. Thirty patients underwent lobectomy and only two with pneumonectomy survived more than 10 years after surgery. Among 32 patients, 21 are alive and well without recurnce, 3 died of secondary primary lung cancer, one died of recurrent disease, and one died of gastic cancer. Most of the patients were free of respiratory symptoms after 10 years. The favorable factors contribuitng to long-term survival after pulmonary resection for the patients with lung cancer are small and early lesions (Stage I, T1, N0, N1 ), lobectomy, cell types of squamous cell carcinoma or adenocarcinoma, and ages under 70 years. However, secondary lung tumors would occur to the patients who survived more than 10 years after pulmonary resection, thus requiring continuous follow-up.
URI: http://hdl.handle.net/10069/15832
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 35, No. 1-4

Citable URI : http://hdl.handle.net/10069/15832

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