Primary cancer of the lung. A 42-year experience.

The Annals of Thoracic Surgery
R H OverholtM M Ashraf

Abstract

Between April, 1932, and July, 1974, 3,808 patients with primary lung cancer were studied and 1,848 underwent resection. Among untreated patients, 95% were dead with a year. Unresected cancer of the lung is so lethal that efforts to streamline surgical management should not be neglected. In good-risk patients with isolated lesions the approach can be direct. If surgical excision is indicated, regardless of a positive or negative sputum cytology, bronchoscopic biopsy, or brush biopsy, such investigations become superfluous. Needle biopsy is also inconclusive and in addition is hazardous. Preoperative investigation should focus on cardiopulmonary reserve more than on ways to obtain tissue for verification. With the passage of time, the extent of resection has become more conservative. The value of palliative resection is now better appreciated in terms of quality of life, its prolongation, and, for some, a possibility for cure.

Citations

Sep 25, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T TakahashiH Ayabe
Jul 1, 1977·Seminars in Roentgenology·L G Rigler
Dec 16, 2011·The Journal of Thoracic and Cardiovascular Surgery·Shamus R CarrRodney J Landreneau
Apr 14, 2010·Expert Review of Respiratory Medicine·Frank C Detterbeck, Christopher M Terrien
Nov 15, 1976·Langenbecks Archiv für Chirurgie·H D SchulteU J Wassner

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