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Conducta diagnóstica y pronóstico en pacientes con carcinoma pulmonar de células no peque?as en estadios quirúrgicos

Keywords: lung cancer, surgical treatment.

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Abstract:

introduction: the lung cancer is the leading cause of death at world scale. the non-small cells as a histological variety account for the 70 % of all cases. objectives: to describe the behavior of non-microcyte in i, ii and iiia stages. methods: fifty seven patients were studied, diagnosed with non-small cells lung cancer in i, ii, and iiia stages in the "hermanos ameijeiras" clinical surgical hospital from january, 2004 to december, 2005. patients in whom it was impossible to determine its current status (live or dead) were excluded. results: the mean age was of 62 years, most of them were of male sex and also smokers. the majority clinical stage was the ib. the surgical treatment was carried out in 51 of the total of patients. the severe respiratory failure due to the chronic obstructive pulmonary disease was the more frequent cause of invalidation of surgical treatment. at the end of study, half of patients died; the metastasis was the leading cause. the 3-years survival of the patients operated on was of 37,5% and the mean of 19,3 months. there was not survivors at 5 years in this group. whereas the survival of the patients operated on at 5 years was of 57,1%, with a mean of 47,8 month conclusion: there was a close relationship between smoking and lung cancer; caaf was the more used diagnostic method. the 5-years life probability was independent of the histological type and of the clinical stage.

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