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The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 401-407, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Y Saito, N Nagamoto, S Ota, M Sato, M Sagawa, K Kamma, S Takahashi, K Usuda, C Endo and T Imai
Ninety-four patients with roentgenographically occult bronchogenic squamous
cell carcinoma had surgical resection. Fifty-three reported having no
symptoms. In 83 carcinoma was detected by cytologic examination of the
sputum during lung cancer screening. The carcinomas were located in
segmental bronchi (34 cases), subsegmental bronchi (19 cases), divisional
bronchi (17 cases), and subsubsegmental or more peripheral bronchi (15
cases). The number of cases classified by TNM staging were 16 Tis N0 M0, 72
T1 N0 M0, 4 T1 N1 M0, and 2 T2 N1 M0. Extrabronchial invasion of the
resected carcinoma was observed in 17 lesions (16 cases). Five of six
patients with lymph node metastasis in the resected specimens had carcinoma
with extrabronchial invasion. Multiple primary lung cancers were observed
in nine patients at the time of operation and in seven subsequently. Four
of seven patients with subsequent primary lung cancer had surgical
resection, and no recurrence was observed after the second operation. There
were two deaths from lung cancer: One was caused by subsequent primary lung
cancer and the other by mediastinal lymph node metastasis. In the 75
patients with intrabronchial cancer invasion and without lymph node
metastasis who had complete resection, there was no local recurrence or
metastasis of cancer. The 5-year survivals were 80.4% (death from all
causes) and 93.5% (death from lung cancer). Although subsequent primary
lung cancer is troublesome, operation is a reliable treatment for occult
bronchogenic squamous cell carcinoma.
ARTICLES
Results of surgical treatment for roentgenographically occult bronchogenic squamous cell carcinoma
Department of Surgery, Tohoku University, Sendai, Japan.
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