[
Abstract]
[
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[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 83(9): 971-974, 1982
Report on the annual meeting
THE LIMITATION OF SURGICAL TREATMENT IN ADVANCED LUNG CANCER
－Surgical Treatment of T3 Cases－
From Dec. 1978 to Jan. 1982, 138 surgery was performed for primary lung cancer. Among these cases, 32 was T
3-tumor invading other organ. Resection was done in 28 of these 32 cases, 22 was stage III, and 10 was stage IV. N-factor revealed N
0 9 cases, N
1 5 cases, N
2 18 cases. High incidence of N
2 case was observed. Resected organ with primary tumor included pericardium 9, parietal pleura 8, ribs 7, left atrium 5, aortic adventitia 2, diaphragma 2, esophagus 1 and thoracic vertebra 1. Histology showed squamous cell carcinoma in 20, adenocarcinoma in 7 and miscellaneous in 3. Among 13 cases (excluding case of exploratoy thoracotomy) of which survival was expected to be 2 or more years, 5 are still alive. All of them were N
0 or N
1 group. Among 18 cases with expected survival of more than 1 year, 9 are still alive. 8 were N
0 or N
1 group, and one was N
2 group. This data showed that long-term survival is possible in T
3 case if lymphnode involvement is none or limited to N
1 level.
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