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肺腫瘍에 對한 臨床的觀察

Tumor of the Lung

최신의학 1969년 12권 8호 p.39 ~ 46
서경필,
소속 상세정보
서경필 (  ) - 서울대학교 의과대학 외과학교실

Abstract


The actual statistical increase in the incidence of lung cancer during the past decade has been most alarming in the world. Fifty two patients with tumor of the lung were reviewed from Seoul National University Hospital beween Jan. 1, 1957 and Oct. 1963. It was found about nine times more prevalent in men than in women, and cigarette smoking appeared to be related to the occurence of the squamous-cell carcinoma.
Symptoms of cough, bloody expectoration, hemoptysis, weight loss, chest pain and dyspnea were the most common presenting features. Most patients were between 41 and 70 years, but 1.9 per cent were detected by radiography. Periodiodical chest X-Ray check might be valuable in the early detection of lung tumor if periodically used for all men above the age of 40 years. Tumor was most frequently in the upper lobes and rare seen in the segmental bronchi in the least. Bronchoscopic biopsy of the lung was the most successful method of confirming the diagnosis in suspected cases. A half of the patients were inoperable and resection was feasible in only 22.2 per cent of the patients. Overall operative mortality for resective surgery was 8.3 per cent. Chemotherapy 5-Fu. combined with X-Ray irradiation proved to be beneficial in the control of undifferentiated-cell carcinoma. No Appreciable therapeutic result was obtained either by palliative irradiation alone or by endoxan. This was also true in case when mitomycin was employed.

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