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S. Vatsal



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    P2.07 - Poster Session 2 - Surgery (ID 190)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Surgery
    • Presentations: 1
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      P2.07-031 - Locally advanced lung cancer with low nodal involvement and concomitant tuberculosis in a tertiary care cancer centre of India (ID 2805)

      09:30 - 09:30  |  Author(s): S. Vatsal

      • Abstract

      Background
      Lung cancer generally presents in an advanced stage and tuberculosis(TB) is a common disease in the subcontinent. This study describes locally advanced lung cancer showing low nodal involvement by cancer and concomitant TB.

      Methods
      Retrospective analysis of lung cancer database of Department of Surgical Oncology , BRA IRCH , AIIMS (2012 -2013 ) was performed and 28 cases were identified who underwent surgeries for lung mass. Only primary lung cancers were included. The clinical features , histopathology and management of these patients were analyzed.

      Results
      A total of 1293 cancer patients were operated between 2012 and 2013 in the department of surgical oncology. Out of which 28 patients were diagnosed to have lung mass with an incidence of 2.1%. Lung cancer was common in fifth decade. Predominant in males [M:F - 3.6:1]. Equal incidence of left and right lung. Five had old Koch's disease. Eighteen were smokers and majority were diagnosed to have lung cancer by computed tomography guided tissue diagnosis. Bronchoscopy detected 9 central tumors. All underwent R 0 resection except one case which was unresectable. Majority were in stage III [ 18 cases]but only 2 patients had nodal invovlement. Chest wall was resected in 4 patients with an average of three ribs resected. Final histopathology showed majority of adenocarcinoma [ 12 cases] followed by squamous cell carcinoma [ 8 cases]. Five patients showed features of concomitant TB.

      Conclusion
      Due to high prevalence of TB in this subcontinent , nodal staging in pre-operative imaging assessment might be fallacious. Imaging and positron emission tomography results should be interpreted more cautiously while making surgical decisions regarding operability.