Recently, primary lung cancer has increased markedly in incidence and prevalence in Korea. From January 1986 to June 1993, 86 patients were operated and evaluated at the Department of Thoracic and Cardiovascular Surgery, Chungnam National
University
Hospital.
@ES The results are as follows;
@EN 1. There were 79 males and 7 females with the peak incidence of 5th and 6th decades of life (75.6%). The age ranged from 13 to 76 (mean 56.6*10.3) years.
2. Symptoms were cough (47.7%), sputum (25.6%), chest pain or dyspnea (18.6%), and hemoptysis or blood tinged sputum (20.9%) in order. Symptoms were frequently encountered before hospitalization, but asymtomatic patients were 12.8% in this study.
3. Methods of diagnostic confirmation were bronchoscopic biopsy (55.8%), percutaneous needle aspiration (29.1%), suspicious sputum cytology (1.2%), and open biopsy (14.0%).
4. Histopathologically, squamous cell carcinoma (51.2%) was the most frequent cell type and adenocarcinoma (26.7%), large cell carcinoma (8.1%), adenosquamous cell carcinoma (3.5%), and the others in order. And TNM stages were Stage Ⅰ 40.5%,
Stage
Ⅱ
15.5%, Stage Ⅲa 27.4%, and Stage Ⅲb 3.6%.
5. Methods of operation were pneumonectomy (25.6%), bilobectomy (5.8%), lobectomy (53.4%), segmentectomy (1.2%), and exploration (14.0%). The overall resectability was 86.0%
6. The operative mortality was 2.3% and postoperative complications developed in 7 cases (8.1%).
7. The postoperative follow-up reveals that the overall cumulative survival rates at 1 year, 2 year, 3 year, 4 year, 5 year were 76%, 62%, 43%, 36%, and 27%, respectively.
(Korean J Thorac Cardiovasc Surg 1995;28:591-95)
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