[Lymphadenectomy in surgery of bronchial carcinoma].
Since 1982 a total number of 1062 patients underwent surgical treatment of bronchogenic carcinoma. There were 972 men and 89 women, with a mean age of 62.5 years. In 484 cases a squamous cell carcinoma was diagnosed and in 416 patients an adenocarcinoma. An alveolar cell carcinoma was found in 54 and a polymorphocellular carcinoma in 68 patients respectively. 334 patients were found to be in stage I, 233 in stage II and 438 patients were in stage IIIa. The 5-year survival rate was 57.2% in stage I and 32.5% in stage II. The group of patients with N2 lymph node metastasis according stage IIIa showed a very poor 5-year-survival rate of 12.3%. A standard therapeutical procedure according to a multimodal concept is necessary to improve these patients' long-term survival. Systemic lymphadenectomy is essential for adequate therapy.
Gellert
K
K
Klinik und Poliklinik für Chirurgie, Humboldt-Universität zu Berlin.
Agnes
A
A
Noack
F
F
Benhidjeb
T
T
Jacobi
C
C
D000328:Adult; D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D015996:Survival Rate