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The Journal of Thoracic and Cardiovascular Surgery, Vol 84, 359-366, Copyright © 1982 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RH Ochs, AS Katz, LH Edmunds Jr, CL Miller and DM Epstein
Eighty-one patients with resectable primary peripheral lung carcinomas were
studied to determine the effect of associated scarring on prognosis. Twelve
tumors (15%) originated from bronchi. 24 (30%) were associated with scars,
and 45 (55%) were not associated with either bronchus or scar (non-scar).
Scar carcinomas differed significantly in cell type from bronchogenic and
non-scar tumors in that 21 (88%) scar carcinomas were either
adenocarcinomas or bronchioloalveolar carcinomas (p less than 0.001).
Origin (bronchogenic, scar, non-scar) independent of cell type and tumor
stage did not significantly influence survival. Stage of disease
independent of cell type or origin affected survival (p less than 0.0001),
as did cell type independent of tumor stage or origin (p less than 0.0001).
Stage I disease and bronchioloalveolar carcinoma were associated with
longer survival, while Stage II or III disease, small cell anaplastic
carcinoma, and adenocarcinoma were associated with reduced survival. We
conclude that associated scar influences cell type of peripheral lung
carcinoma but does not influence patient survival, even among patients with
similar cell type and stage of disease.
ARTICLES
Prognosis of pulmonary scar carcinoma
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