Clinical profile of lung cancer in rural medical college of Maharashtra (India): a prospective study of three years
Abstract
Aim: To Study the clinical, radiological & histological profile of lung cancer.
Meterial & Methods: 94 patients who presented with cough, haemoptysis, chest pain, breathelessness, and having radiological features consistant with bronchogenic carcinoma subjected to sputum cytology, bronchoscopy, CT thorax & FNAB depending on need.
Results : Highest incidence of lung malignancy was found in age group of 51-70 years (35.10%). Male :female ratio was 3:1. 54(57.44%) were smokers & 40 (42.55%) were non-smokers. Cough (88.33%), breathelesness (85%) and chest pain (48.33%) were the commonest presentation . Sputum cytology was positive in 8.33%. Endobronchial mass found in 40 (48.19%), vocal cord palsy in13(15.66%), trachial external compression in 8 (9.6%) ,widened carina in 19 (22.8%), bronchial external compression in 14(16.66%). BAL cytology was positive in 58.49% (31/53), brushing was positive in 60% ( 15/25) . Commenest presentation was lung mass (61.66%) on CXR and peripherial tumour 54 (57.45%) on CT. Adenocarcinoma was the commenst small cell carcinoma (48.33%), 50 (53.19 %) patients presented stage IV disease.
Conclusion: Associated risk factors, symptoms, and investigations like CT guided FNAC, BAL cytology are enormously important to diagnose lung cancer in early stage so that further mortality & morbidity can be minimized.
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