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The Annals of Thoracic Surgery, Vol 41, 652-656, Copyright © 1986 by The Society of Thoracic Surgeons
RJ Greco, RM Steiner, S Goldman, H Cotler, A Patchefsky and HE Cohn
A multivariable analysis was performed of all patients registered and
confirmed to have bronchoalveolar cell carcinoma of the lung in the Tumor
Registry of Thomas Jefferson University Hospital between 1969 and 1983.
These 122 patients were reviewed for age, sex, smoking history,
occupational exposure, symptoms, radiographic findings, methods of
diagnosis, clinical and pathologic staging, methods of treatment, survival,
and complications of treatment. No correlation could be found in this
series between a patient's age, sex, smoking history, or occupational
exposure and the incidence or outcome of the disease. Seventy-one of the
122 patients in this series were asymptomatic, and the carcinoma was
discovered in them by routine chest roentgenogram. Of these asymptomatic
patients, 50 were seen with pathologic stage I disease. Of the 51
symptomatic patients, 32 (65%) were seen with stage IIIm0 or IIIm1 disease.
Despite medical evaluations, 77% of the T1 and T2 lesions required
thoracotomy for diagnosis. The overall five-year survival rate was 42.3%,
ranging from 75% for those with stage I disease to 8.7% for those with
stage IIIm1 disease.
ARTICLES
Bronchoalveolar cell carcinoma of the lung
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