title: [Considerations upon diagnosis and treatment of lung and pleural tumors in Mures county].
abstract: We studied 171 patients with pulmonary and pleural tumours, in 1999. Within this group we had 87.7% primary lung cancers, 8.8% pulmonary methastatic tumors and 3.5% pleural mesothelioma. The primary lung cancer is more frequent in men (male-female ratio = 8.4) and in patients living in rural area; it involved persons over 40 years only. The chronic tobacco use is the main risk factor we found among these patients (80%). All the patients showed symptoms linked to delayed diagnosis. Radiology was characteristic in 100% of the cases, showing typical aspects of lung tumours and complications and contributed to staging. The bronchoscopy was the main procedure in diagnosis (80.1%), allowing the microscopic confirmation and contributing in staging. The thoracic computed thomography was performed in 30.4% of the cases. We had a late case finding (56.7% in the stage III, 26% in the stage IV) allowing the surgical treatment in only 15.2% of the cases. The early diagnosis of lung cancers would be possible by "oncological screening", combining clinical aspects with data from radiology and bronchoscopy in high-risk persons (heavy smokers, contacts with cancer producing substances). Performing bronchoscopy and computed tomography in all patients with lung cancer would allow the histological diagnosis and the proper staging for a proper treatment. The education against smoking will allow the decrease of the lung cancer in the future.
authors.affiliation: Clinica Pneumologie Târgu-Mureş.
authors.forename: G
authors.initials: G
authors.lastname: Jimborean
authors.forename: M
authors.initials: M
authors.lastname: Gabor
authors.forename: D
authors.initials: D
authors.lastname: Szilai
mesh_terms: D000328:Adult; D000368:Aged; D016573:Agrochemicals / Q000009:adverse effects; D001706:Biopsy; D001999:Bronchoscopy / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012307:Risk Factors; D012383:Romania; D012907:Smoking / Q000009:adverse effects; D014057:Tomography, X-Ray Computed
chemical_list: D016573:Agrochemicals