[Small cell bronchus carcinoma: surgery or not?].
According to literature the operability rate of small cell carcinoma of the bronchi varies from 6 to 26%. Out of this group of patients the 5-year survival rate is 0--5%. During the 8 years from 1965 to 1973 we observed 65 patients suffering from small cell bronchial carcinoma. All were men. The average age was 56.5 years. Out of this group of 65 patients 13 underwent operations. In 7 cases pneumonectomy, in 1 case lobectomy were performed. 3 patients became radical pneumonectomy. In 2 cases thoracotomy was performed. On the average the operated patients survived for 6.1 months. Out of the 13 patients 12 died during the first year and one patient survived 2 years after the operation. Out of the 52 patients who were found to be inoperable 42 had radiotherapy. In 2 patients additional chemotherapy was given. In the group of 52 patients, 58% died during the first 6 months and 85% died during the first year after diagnosis. 3 patients survived 13, 14 and 15 months respectively and one patient died 35 months after diagnosis. We come to the conclusion that surgery has not brought any advances in the treatment of this tumour. Our bad experience is shared by most authors. Indications for surgical treatment of this tumour therefore are extremely limited.
D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000601:surgery*; D018288:Carcinoma, Small Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis
Das kleinzellige Bronchuskarzinom: Chirurgie ja oder nein?