Primary Lung Carcinoma |
Pyoung Ki Kim1, Hwae Sung Yoo2 |
1Department of Chest Medicine, National Medical Center, Seoul, Korea 2Department of Chest surgery, National Medical Center, Seoul, Korea |
원발성폐암에 대한 임상관찰(1) |
김병기1, 유회성2 |
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Abstract |
Bring past 3 years, we have examined and treatment 48 cases of primary lung cancer in M.C and S.C department, among which male was 41 and female was 7. Most of them were in 4th and 5th decades. As for type differentiation, epidermoid carcinoma was 23, anaplastic carcinoma 13, adenocarcinoma 7, and 5 were not specified. Group 1 was remarkably high in cumber also in out scries but different in sex distribution from other authors. As it was stated in the beginning, it is impossible to make any reliable statistics with this material because of small number. X-ray patterns were tried to establish, and 10 categories were made but it was not to make characteristic patterns to majority of cases. Operability according to X-ray pattern, duration of symptoms in connection to different types were observed but no significance was found except few minor points as was mentioned in each column, Study on the method of diagnosis revealed that bronchial biopsy was the most reliable method, especial in epidermoid carcinoma and with quite birg number in anaplastic carcinoma. However, in adenocarcinoma all cases were diagnosed by scalene node biopsy in our series. Only 4 cases were diagnosed as cancer prior to out O.P.D. but others were diagnosed variously, among which tuberculosis was most predominant. As for the symptom at onset cough was most prominent in most of cases, and chest pain was the net. In most of the cases, E.S.R. was elevated markedly. Localization did not show any significant result. Relation between smoking habit and cancer incidence was observed but no significance was found in either sex or type of tumor. |
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