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Bronchoplasty for primary broncho-pulmonary tumors
Author
Abd al-Rahman, Abd al-Rahman M.
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 22, Issue 1 (31 Mar. 2010), pp.73-78, 6 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2010-03-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Parenchyma-sparing procedures are widely used in patients with low-grade malignancies of the airway when anatomically suited lesions exist.
This study was conducted to evaluate the short-term and the long-term results of bronchoplastic procedures for patients with centrally located primary bronchopulmonary tumors.
Methods : between 2000 and 2009, 36 patients with primary lung tumors required bronchoplasty were retrospectively analyzed.
Preoperative assessment included computed tomography (CT) of the chest, bronchoscopy, and spirometer.
Pre-operative diagnosis was achieved by bronchoscopy for all patients, mediastinoscopy was done for patients with primary lung cancer.
Neo adjuvant chemotherapy was given for 6 patients with non-small cell lung cancer (NSCLC).
Results : we had 15 males and 21 female, the mean age was 37 years and the mean hospital stay was 7.2 days.
Operative procedures performed were : sleeve lobectomy in 30 patients (13 right, 17 left), partial sleeve right pneumonectomy in 3 and bronchial resection with anastomosis in 3 (2 left, 1 right).
Twelve patients (33.3 %) suffered post-operative problems.
There was One operative related mortality.
Post-operative pathology revealed: 27 patients with typical carcinoid, 2 with atypical carcinoid, 4 with squamous cell carcinoma, 2 with adenocarcinoma and one with hematoma.
Pathological TNM staging revealed: 17 patients with stage IA, 11 with IB, 5 with IIA and 2 with stage IIIA.
Follow-up data were available for all patients except two.
Two patients died with disseminated disease 1.5 year and 2 years after surgery.
The patient with hematoma developed local recurrence 5 years later and re-excision was done.
One patient with lung cancer developed bone metastases and was alive with disease, while the remaining 30 patients were alive and disease free.
The overall 5 years survival was 83.3 % Conclusion : Bronchoplastic resections achieve local control and long-term survival comparable to the standard resections in patients with carcinoid tumor and NSCLC in anatomically suited lesions.
American Psychological Association (APA)
Abd al-Rahman, Abd al-Rahman M.. 2010. Bronchoplasty for primary broncho-pulmonary tumors. Journal of the Egyptian National Cancer Institute،Vol. 22, no. 1, pp.73-78.
https://search.emarefa.net/detail/BIM-273873
Modern Language Association (MLA)
Abd al-Rahman, Abd al-Rahman M.. Bronchoplasty for primary broncho-pulmonary tumors. Journal of the Egyptian National Cancer Institute Vol. 22, no. 1 (Mar. 2010), pp.73-78.
https://search.emarefa.net/detail/BIM-273873
American Medical Association (AMA)
Abd al-Rahman, Abd al-Rahman M.. Bronchoplasty for primary broncho-pulmonary tumors. Journal of the Egyptian National Cancer Institute. 2010. Vol. 22, no. 1, pp.73-78.
https://search.emarefa.net/detail/BIM-273873
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 78
Record ID
BIM-273873