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Vol. 23. Issue 5.
Pages 222-228 (September - October 1987)
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Vol. 23. Issue 5.
Pages 222-228 (September - October 1987)
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Resultados del tratamiento quirurgico del carcinoma broncogenico. Estudio de una serie de 98 casos
Surgical treatment of bronchogenic carcinoma. Results in a series of 98 cases
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C. Rodriguez Casquero*, S. Alvarez**, G. Estrada**, G. Gomez**, C. Leon**
* Servicio de Anatomía Patológica, Hospital de la Sta. Creu i St. Pau. Barcelona
** Unidad de Cirugía Torácica. Hospital de la Sta. Creu i St. Pau. Barcelona
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Se presentan una serie de 98 pacientes afectos de carcinoma broncogénico, estudiados y tratados según un protocolo común. Los tipos histológicos correspondieron a carcinoma escamoso en 62 casos (63%), adenocarcinoma en 22 (22%), carcinoma de células grandes en 13 (13%) y necrosis rádica en 1 (1%). Se realizaron 55 lobectomías, 13 neumonectomías, 7 resecciones de pared y 23 toracotomías exploradoras. Se estudia la supervivencia de dichos pacientes según la edad, tipo histológico, intervención practicada y extensión tumoral.

No se encontró diferencia significativa según la edad de los pacientes pero sí según el tipo histológico. No se observó diferencia entre la supervivencia según el tipo de intervención realizada, sin embargo en los pacientes lobectomizados por carcinoma escamoso se observó diferencia significativa según el estadio de extensión tumoral.

Ninety-eight consecutive patients with bronchogenic carcinoma were assessed and treated according to the same protocol. Histologically were 62 squamous carcinomas (63%), 22 adenocardnomas (22%), 13 large cell carcinomas (13%) and 1 radiac necrosis (1%). The surgical treatment was 55 lobectomies, 13 pneumonectomies, 7 wall resections and 23 exploratory thoracotomies. Survival was evaluated according to the age of the patients, the histological typing of the tumours, the several surgical approaches and the tumoral extension.

No significant difference related to the age of the patients was found. Differences were found however in relation to the histological typing of the tumour.

The survival of the patients did not differ among the several surgical approaches. Nevertheless, significantly different survivals according to the stage of tumoral extension were found among patients in which a lobectomy was performed because of squamous carcinoma.

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Copyright © 1987. Sociedad Española de Neumología y Cirugía Torácica
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