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S. Krishnamurthy
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P3.03 - Poster Session/ Treatment of Locoregional Disease – NSCLC (ID 214)
- Event: WCLC 2015
- Type: Poster
- Track: Treatment of Locoregional Disease – NSCLC
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.03-008 - Lung Resections: Limited Resection for Operable Lung Cancer (ID 2648)
09:30 - 09:30 | Author(s): S. Krishnamurthy
- Abstract
Background:
Lung cancer is the commonest cancer worldwide and the leading cause of cancer related deaths. Most common etiology is smoking which includes both active and passive. Surgery ,chemotherapy and radiation therapy ,are treatment options available . In india presentation of the lung cancer is usually in advanced stages because of various socioeconomic conditions.
Methods:
It is a retrospective study. Data were collected from the hospital database which includes no of patients who underwent lung resection for carcinoma lung between a period of January 2011 to December 2014. Data was analysed regarding number of patients who underwent surgery, surgery related complications, adjuvant treatment , and survival
Results:
Total number of cases seen in this time period was 360 with a sex ratio of 2:1 out of which 45 underwent surgery {12.5 %},rest underwent palliative chemotherapy due to advance disease .Out of 45 cases 28 were diagnosed as adenocarcinoma, 16 squamous cell and 1 case of limited stage small cell lung cancer .Most cases were stage IIA {17/45} followed by {IB 9/45}, 6 cases were diagnosed as stage IIB , 4 cases stage IA and 9 out of 45 cases were stage IIIA .39 out of 45 underwent lung resection and rest 6 cases were found locally advanced on exploration ,biopsy taken and closed .Lobectomy done in 23 patients (60 %) followed by bilobectomy (30.7 %) pneumonectomy in 3 cases only and 1 patient underwent bilobectomy with excision of the ribs with chest wall reconstruction .Post operative pneumonia was the most common complication found in 3 patients ,followed by wound infection (1/39) , prolonged air leak(2/39) and chest wall recurrence (1/39).All patients with stage IB and above underwent cisplatin based adjuvant chemotherapy and six patients underwent adjuvant radiotherapy . Average survival in our study was 2 years for stage IA – IIB and 6 months for stage IIIA .
Conclusion:
The incidence of lung cancer is rising dramatically and it is now the most common cause of cancer related mortality and morbidity not only in industrialised nations,but also in developing countries like India as well.In our study we found only 13 % operable lung cancer despite of huge incidence and we were able to do less than pnemonectomy in majority of the patients .The survival is moderate for the lung cancer patients in view of our inability to detect early lung cancer patients.The ideal screening tools for early detection of the lung cancerhas still not found so drastic measures amied at discouraging people from smoking and early encouraging high risk population to undergo regular screening to reduce the morbidity and mortality.
