Recently, primary lung cancer has increased markedly in incidence and prevalence in Korea. From November 1985 to December 1992,78 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 70 males and 8 females with the peak incidence of 6th and 5th decades of life(73.1%).
2. Symptoms were cough(51.3%), sputum(29.5%), chest pain or dyspnea(23.1%), hemoptysis or blood tinged sputum(20.5%) in order, Symptoms were frequently encountered before hospitalization, but asymptomatic patients were 10.3% in this study.
3. Methods of diagnostic confirmation were bronchoscopic biopsy(44.9%), percutaneous needle aspiration(19.0%), open biopsy(3.8%) and suspicious sputum cytology(32.0%).
4. Histopathologically, squamous cells carcinoma(52.5%) was the most frequent cell type and adenocarcinoma(25.6%), large cell carcinoma(9.0%), adenosquamous cell carcinoma(3.9%) and the others in order.
5. Methods of operation were pneumonectomy(21.8%), biloectomy(6.4%), lobectomy(51.4%), segmentectomy(3.8%), exploration(16.6%) and the overall resectability was 83.4%.
6. The postoperative complications developed in 6 cases(7.7%) and operative mortality was 1 cases (1.3%).
7. The postoperative follow up reveals that the cumulative survival rats at 1 year, 2 year, 3 ear, 4 year, 5 year were 77%, 56%, 41%, 28%, respectively.
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