[Surgical indications for small advanced lung cancer: especially from resected cases of peripheral non-small cell lung cancer less than 2 cm in diameter].
During the period from 1978 to 1987, 30 cases of peripheral non-small cell lung cancer with primary lesions less than 2 cm in diameter were resected at our hospital. Histopathologically, these cases consisted of 24 adenocarcinomas, 5 squamous cell carcinomas and one adenosquamous carcinoma. Twenty-one cases were in early stages (p-stage I) and 9 in advanced stages (6 p-stage IIIA, one p-stage IIIB and 2 p-stage IV). Serum levels of CEA in the advanced stages exceeded those in the early stages. However, clinically no cases of the advanced stages are being assessed preoperatively. Thus, for cases of small peripheral lung cancer less than 2 cm, the possibility of advanced stages should be considered and for the complete cure of lung cancer, mediastinal lymph nodes dissection with lobectomy and appropriate adjuvant chemotherapy should be conducted.
Imaizumi
M
M
Department of Thoracic Surgery, Nagoya University School of Medicine.
Ojika
T
T
Abe
T
T
D000328:Adult; D000368:Aged; D002272:Carcinoembryonic Antigen / Q000097:blood; D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis
D002272:Carcinoembryonic Antigen