Surgical Treatment of Lung Cancer for Patients Under Age 40.
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概要
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Of 733 surgical cases of lung cancer recorded over the last 17 years, younger patients less than 40 years of age numbered 24 (3.3%). The youngest patient was a seventeenyear-old female, and all patients under the age of 30 had adenocystic carcinomas. Females accounted for 7 of the 24 cases (29.2%), a proportion higher than the female: male ratio for the entire group (25.2%). There were 9 (37.5%) asymptomatic cases and 15 (62.5%) symptomatic cases. The most common symptom was a cough. Among younger cases 33.3% were non-smokers, compared to 17.1% of the entire group. Histologically there were 10 cases of adenocarcinoma, but fewer cases of squamous cell carcinoma. The histological types were as follows: 11 stage I, 1 stage II, 6 stage III A, 5 stage III B, and 1 stage N. For the younger cases 50.0% had cancers in the advanced stage, compared to 59.6% in the entire group. The surgical outcomes were as follows: 12 cases of completely curative resection, 6 cases of relatively curative resection, 2 cases of relatively noncurative resection, 2 cases of completely noncurative resection, and 2 unresectable cases. Surgical results were considered excellent since the 5 year survival rate was 74.1%. For stage I cancer patients, the 5 year survival rate was 100%, but for stage IIIA cancer patients, the 5 year survival rate was 0%. There were comparatively few asymptomatic advanced cancer cases in which convalescence was satisfactory.
- 特定非営利活動法人 日本肺癌学会の論文
特定非営利活動法人 日本肺癌学会 | 論文
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