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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 1092-1097, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
H Kondo, H Asamura, K Suemasu, T Goya, R Tsuchiya, T Naruke, K Yamagishi and Y Uei
Pleural lavage cytology immediately after thoracotomy was performed in 467
patients with lung cancer who had little or no pleural effusion. Forty-two
patients (9.0%) had positive results. The positivity of pleural lavage
cytology was significantly related to the degree of pleural extension of
the tumor, microscopic pleural dissemination, cytologic results of minimal
pleural effusion, pathologic stage, presence of lymphatic permeation or
vascular invasion, and cell type (adenocarcinoma was predominant). The
3-year survival of the patients having negative and positive results of
cytology were 68.7% and 22.9%, respectively. The prognosis of the group
with positive results was as poor as that of patients with stage IIIB or IV
disease. Pleural lavage cytology is an important prognostic factor that
indicates microscopic exfoliation of cancer cells into the pleural cavity,
that is, subclinical malignant pleural effusion.
ARTICLES
Prognostic significance of pleural lavage cytology immediately after thoracotomy in patients with lung cancer
Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan.
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