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Interact CardioVasc Thorac Surg 2009;9:182-186. doi:10.1510/icvts.2009.204784
© 2009 European Association of Cardio-Thoracic Surgery

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Institutional report - Thoracic oncologic

Bronchial stump infiltration after lung cancer surgery. Retrospective study of a series of 2994 patients

Esther Fernándeza,*, Pedro López de Castroa, Julio Astudilloa, Jaume Fernández-Llamazaresa,b and and GCCB-S (Bronchogenic Carcinoma Cooperative Group of the Spanish Society of Pneumology and Thoracic Surgery)

a H. Universitari Germans Trias i Pujol, Carretera de Canyet s/n 08916 Badalona, Barcelona, Spain
b School of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain

*Corresponding author. Tel.: +34 934978921; fax: +34 934978843.

E-mail address: esther_med2000{at}yahoo.es (E. Fernández).

The incidence of lung cancer has been increasing in developed countries since the mid-1990s. The main objective of this study is to determine if bronquial stump infiltration can affect survival in patients with lung cancer. For this purpose, we differentiate between carcinoma ‘in situ’ and invasive carcinoma. We included patients suffering from non-small cell lung cancer who underwent thoracothomy as treatment. The total number of patients was 2994. In this study, 80 patients out of the 2994 had bronchial stump affection. Eight patients were excluded thus a total of 72 patients were included, 52 of them had carcinoma ‘in situ’ and 20 invasive carcinoma. The global survival was 25 months. Patients with carcinoma ‘in situ’ had a median survival of 25 months as opposed to 21 months in patients with invasive carcinoma. We only found statistical significance when we compared the histology with the type of bronchial stump infiltration. We did not observe statistical significance in survival between carcinoma ‘in situ’ and invasive carcinoma bronchial stump infiltration (P=0.094). The only survival predictor variable is histology (adenocarcinoma), P=0.0001.

Key Words: Lung cancer; Stump bronchial affection; Carcinoma in situ


Related Article

eComment: Therapeutic options for bronchial stump infiltration following lung cancer surgery
Nikolaos Barbetakis, C. Asteriou, A. Kleontas, and C. Tsilikas
Interactive CardioVascular and Thoracic Surgery 2009 9: 186. [Full Text] [PDF]



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N. Barbetakis, C. Asteriou, A. Kleontas, and C. Tsilikas
eComment: Therapeutic options for bronchial stump infiltration following lung cancer surgery
Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 186 - 186.
[Full Text] [PDF]




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