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  • Title: [Considerations upon diagnosis and treatment of lung and pleural tumors in Mures county].
    Author: Jimborean G, Gabor M, Szilai D.
    Journal: Pneumologia; 2001; 50(3):148-53. PubMed ID: 11977485.
    Abstract:
    We studied 171 patients with pulmonary and pleural tumours, in 1999. Within this group we had 87.7% primary lung cancers, 8.8% pulmonary methastatic tumors and 3.5% pleural mesothelioma. The primary lung cancer is more frequent in men (male-female ratio = 8.4) and in patients living in rural area; it involved persons over 40 years only. The chronic tobacco use is the main risk factor we found among these patients (80%). All the patients showed symptoms linked to delayed diagnosis. Radiology was characteristic in 100% of the cases, showing typical aspects of lung tumours and complications and contributed to staging. The bronchoscopy was the main procedure in diagnosis (80.1%), allowing the microscopic confirmation and contributing in staging. The thoracic computed thomography was performed in 30.4% of the cases. We had a late case finding (56.7% in the stage III, 26% in the stage IV) allowing the surgical treatment in only 15.2% of the cases. The early diagnosis of lung cancers would be possible by "oncological screening", combining clinical aspects with data from radiology and bronchoscopy in high-risk persons (heavy smokers, contacts with cancer producing substances). Performing bronchoscopy and computed tomography in all patients with lung cancer would allow the histological diagnosis and the proper staging for a proper treatment. The education against smoking will allow the decrease of the lung cancer in the future.
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