Cáncer pulmonar: caracterización, estadificación y supervivencia en una cohorte de una década en un hospital del sistema público de salud de Chile



Título del documento: Cáncer pulmonar: caracterización, estadificación y supervivencia en una cohorte de una década en un hospital del sistema público de salud de Chile
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000448958
ISSN: 0034-9887
Autores: 1

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Instituciones: 1Hospital Clínico Regional de Concepción Dr. Guillermo Grant Benavente, Centro Cardiovascular, Concepción. Chile
2Hospital Clínico Regional de Concepción Dr. Guillermo Grant Benavente, Servicio de Cirugía, Concepción. Chile
3Hospital Clínico Regional de Concepción Dr. Guillermo Grant Benavente, Unidad de Anatomía Patológica, Concepción. Chile
Año:
Periodo: Ene
Volumen: 150
Número: 1
Paginación: 7-16
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: Lung cancer is the world’s leading cause of cancer death. Aim: To describe the clinical, staging and survival characteristics of lung cancer in a public Chilean regional hospital. Material and Methods: Analysis of a prospective database of a thoracic surgery service, retrieving histologically confirmed lung cancer cases from January 2010 to December 2019 and reviewing their medical records. Cases were re-staged by the TNM-8 system and variables were compared between periods 2010-2014 and 2015-2019. Results: We retrieved 551 lung cancer cases, 333 (60 %) men, with a mean age of 65 years. Distant metastases were found in 72% of cases (excluding lymphatic metastases). Of the non-small cell lung cancers (NSCLC), 50 (10%) cases were in stage I, 18 (4%) in stage II, 81 (16%) in stage III and 347 (70%) in stage IV. Global five-year survival was 18%, 20% for NSCLC, 71% for excised NSCLC, 8% for non-excised NSCLC, 88% for stage I and 92% for subgroup IA. Resective surgery was performed in 81 (14%) cases. When comparing 2010-2014 and 2015-2019 periods, the frequency of resective surgery increased from 7% to 20%. Conclusions: The diagnosis of lung cancer was frequently made in advanced stages. There was a significant increase in early diagnosis and frequency of surgeries with curative intent in the second observation period
Disciplinas: Medicina
Palabras clave: Oncología,
Neumología,
Pulmones,
Neoplasias,
Carcinoma,
Cirugía torácica,
Sobrevivencia
Keyword: Oncology,
Pneumology,
Lungs,
Neoplasms,
Carcinoma,
Thoracic surgery,
Survival
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