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The Annals of Thoracic Surgery, Vol 47, 391-393, Copyright © 1989 by The Society of Thoracic Surgeons
JG Antkowiak, AM Regal and H Takita
Eighty-nine patients aged 19 to 39 years were treated for bronchogenic
carcinoma at Roswell Park Memorial Institute between 1973 and 1983. The
male to female ratio was 1.6:1. The vast majority of patients were habitual
cigarette smokers. Forty-four patients (49%) had adenocarcinoma or
bronchoalveolar cell carcinoma. Twenty-seven (30%) had large cell
undifferentiated carcinoma. Nine (10%) had small cell carcinoma and 6 (7%),
squamous cell carcinoma. At the time of diagnosis, 2 patients (2%) had
stage I disease, 3 (3%) had stage II disease, 30 (34%) had stage IIIA
disease, 28 (32%) had stage IIIB disease, and 26 (29%) had stage IV
disease. Only 3 patients survive. Median survival of all patients was 7.5
months. Median survival of patients whose tumor was surgically resected was
17.5 months. Advanced stage of disease at the time of diagnosis
characterized this group of young patients with primary cancer of the lung.
The brief duration of symptoms and the poor survival suggest this is a more
aggressive tumor in younger patients than in older patients.
ARTICLES
Bronchogenic carcinoma in patients under age 40
Department of Thoracic Surgery and Oncology, Roswell Park Memorial Institute, Buffalo, NY 14263.
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