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Title: Bronchial stump infiltration after lung cancer surgery. Retrospective study of a series of 2994 patients
Authors: Fernández, Esther
De Castro, Pedro López
Astudillo, Julio
Fernández-Llamazares, Jaume
Duque, José Luis
Encuentra, Ángel López
Rami-Porta, Ramon
Armengol, Antonio Cantó
Casanova, Juan
Mariñan, Manuel
Cerezal, Jorge
De La Rota, Antonio Fernández
Arrabal, Ricardo
Gimferrer, Joseph Ma
Aragoneses, Federico González
Mata, Nicolás Moreno
Freixinet, Jorge 
Rodríguez-Suárez, Pedro
Poyán, Nicolás Llobregat
Mañez, Nuria
Serra-Mitjans, Mireia
De Nicolás, José Luis Martín
Valentín, Nuria Novoa
Rodríguez, Jesús
García, Antonio José Torres
Gómez, Ana
De La Torre, Mercedes
Ramos, Abel Sánchez Palencia
Zafra, Javier Ruiz
Ugarte, Andrés Varela
García, Pablo Gámez
Yat, Wah Pun
UNESCO Clasification: 32 Ciencias médicas
321307 Cirugía del corazón
Keywords: Lung cancer
Stump bronchial affection
Carcinoma in situ
Issue Date: 2009
Journal: Interactive Cardiovascular and Thoracic Surgery 
Abstract: The incidence of lung cancer has been increasing in developed countries since the mid-1990s. The main objective of this study is to determine if bronquial stump infiltration can affect survival in patients with lung cancer. For this purpose, we differentiate between carcinoma 'in situ' and invasive carcinoma. We included patients suffering from non-small cell lung cancer who underwent thoracothomy as treatment. The total number of patients was 2994. In this study, 80 patients out of the 2994 had bronchial stump affection. Eight patients were excluded thus a total of 72 patients were included, 52 of them had carcinoma 'in situ' and 20 invasive carcinoma. The global survival was 25 months. Patients with carcinoma 'in situ' had a median survival of 25 months as opposed to 21 months in patients with invasive carcinoma. We only found statistical significance when we compared the histology with the type of bronchial stump infiltration. We did not observe statistical significance in survival between carcinoma 'in situ' and invasive carcinoma bronchial stump infiltration (P=0.094). The only survival predictor variable is histology (adenocarcinoma), P=0.0001.
ISSN: 1569-9293
DOI: 10.1510/icvts.2009.204784
Source: Interactive Cardiovascular and Thoracic Surgery[ISSN 1569-9293],v. 9(2), p. 182-186 (Agosto 2009)
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