Clinical Evaluation of Lung Cancer in Patients Younger Than 40 Years

약년자 [40세 미만] 폐암 수술증례의 임상적인 검토

  • Published : 1993.11.01

Abstract

The lung cancer in patients under 40 years old is rare and reported to be more rapidly fatal than in older persons. We reviewed the records of 18 cases who younger than 40 years with histologically proven lung cancer between 1959 and 1992 at department of Thoracic Surgery in National Medical Center. There were 12 male and 6 female patients. Two male and all female patients had never smoked. The 17 cases had respiratory symptoms for a mean duration of 3 months. The squamous carcinoma was found in 7 cases[38.9%], small cell carcinoma in 4 cases[22.2%], mixed cell carcinoma in 4 cases[22.2%], adenocarcinoma in 2 cases[11.1%] and bronchoalveolar cell carcinoma in 1 case. Among the 6 resected tumors, one case was stage I, two cases were stage II and three cases were stage IIIa. The operation was considered complete and curative in 6 patients and noncurative in 6 pations because of an exploratory thoracotomy. We conclude that lung cancer in young persons is virulent and that diagnosis is frequently delayed.

Keywords

References

  1. Ann Thorac Surg v.36 Bronchogenic carcinoma in patients younger Than 40 years Pemberton,J.H.;Nagorney,D.M.;Gilmore,J.C.;Taylor,W.F.;Bernatz,P.E.
  2. Ann Thorac Surg v.149 Carcinoma of the lung in patients under 40 years of age Larrieu,A.J.;Eric Jamieson,W.R.;Bill Nelson,J.M.
  3. J Thorac Cardiovasc Surg v.83 Lung cancer in young persons DeCaro,L.;Benfield,J.R.
  4. Ann Thorac Surg v.54 Primary lung cancer in young patients: A study of 82 surgically treated patients Icard;Regnard,J.F.;Napoli,S.D.(et al.)
  5. J Thorac Cardiovasc Surg v.67 Cancer of the lung in young men Kyriakos,M.;Webber,b.;M.B.B.Ch;Path,F.F.
  6. 胸部外科 v.45 若年者原發牲肺癌切除 症例の檢討 安藤陽夫;淸水信義;丸山修一郞(et al.)
  7. JAMA v.238 lung Carcinoma in young adults Putnam,J.S.
  8. West J Med v.133 Lung cancer in young patients Ganz,P.A.;Vernon,S.E.;Preston,D.;Culson,W.
  9. N Engl J Med v.11 Bronchogenic carcinoma in persons under forty years of age Neuman,H.:Ellis,F.;McDonald,J.
  10. J. Thoracic cardiovasc surg v.82 Survival of patients surgically treated for stage I lung cancer Williams,D.E.
  11. Semin Oncol v.1 The staging of lung cancer Carr,D.T.;Mountain,C.F.
  12. J Thoracic Surg v.48 The surgical treatment of pulmonary neoplasms; a 10 years experience Clagett,O.T.;Allen,T.H.;Payne,W.S.(et al.)
  13. Ann Surg v.198 Results of resection in non-oat cell carcinoma of the lung with mediastinal lymph node metastasis Martini,N.;Flehinger,B.J.;Zaman,M.B.;Beattie,E.J.Jr