[Diagnosis and treatment of lung cancer in Shanghai--an analysis of present status].
The status of diagnosis and treatment of lung cancers as discovered in one year's interval in the Shanghai population is presented. A total of 940 lung cancers was detected from inhabitants 35-64 years of age, with a male-female ratio of 1.8:1. Pathology showed 35.7% adenocarcinoma and 35.1% squamous cell carcinoma. There was a predominance of adenocarcinoma (47.6%) in the female and squamous cell carcinoma (44.6%) in the male. Most (68.6%) of the lesions detected were already advanced in contrast to 14.7% of Stage I disease. The necessity of the doctor's vigilance was demonstrated by the fact that 23.3% of patients was seen by the doctor within one month after the presenting symptom and 44.5% of them had their diagnosis made within one month after their first hospital visit. The treatment consisted of surgery for 33.3%, chemotherapy for 35%, traditional Chinese medicine for 20% and symptomatic management for 9.7% of patients. As only 55.8% Stage I patients was treated by surgery, the protocol of treatment seemed to be improperly biased. Adequate training of the health workers was shown by the fact that 79.7% of these patients was confirmed by pathology and/or cytology and most of the Stage I lesions were diagnosed outside the hospital.
Liao
M L
ML
Shanghai Chest Hospital.
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D002681:China; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging