Dilaver TAŞ, Oğuzhan OKUTAN, Hatice KAYA, Zafer KARTALOĞLU, Erdoğan KUNTER

Analysis of 138 cases of lung cancer in a training hospital compared to the data of lung cancer cases diagnosed ten years previously

Amaç:Bir yıllık süreçte kliniğimizde tanı konan akciğer kanserli (AK) olguların verilerini incelemek ve 10 yıl once tanı konan AK'li olguların verileriyle karşılaştırmak. Yöntem: Kliniğimizde Ocak 2005-Ocak 2006 arasında yatarak AK tanısı alan olgularımızın demografik özellikleri ile radyolojik ve bronkoskopik bulguları, tanı yöntemleri, histopatolojik tanıları ve evreleri değerlendirildi. Sonuçlar: Bir yıllık süreçte 138 hastaya AK tanısı konuldu. Yaş ortalaması 63,78±9,53 (38-83) olup 104'ü (%75,4) erkek, 34'ü (%24,6) kadın idi. Olguların 118 (%86,5)'inde 39±16,34 (5-90) paket-yıl sigara hikayesi vardı. Yassı hücreli akciğer kanseri (YHAK) %40,6, adeno kanser %29,0, küçük hücreli akciğer kanseri %21.0, kombine tip %8.0, hücre tipi tanımlanamayan ise %1,4 olarak saptandı. Sigara içenlerde YHAK ilk sırada yer aldı. Sonuçlarımızı ülkemizde daha önce yapılan çalışmalar ile karşılaştırdığımızda, hücre tipleri arasındaki oranların değişmediğini, kadınlarda ise AK'nin arttığını tespit ettik. Karar: Kliniğimizde AK'li hastalarda en sık görülen histopatojik tip YHAK'dir. AK'li hastalarda kadın/erkek oranı düşmektedir.

Bir eğitim hastanesinde akciğer kanseri tanısı konan 138 olgunun analizi ve 10 yıl önce akciğer kanseri tanısı konan hastaların verileriyle karşılaştırma

Objective: To analyze data of cases with lung cancer (LC) diagnosed in our clinic over one year period and compare them with data of cases with LC diagnosed before ten years. Method: The demographic data, radiological and bronchoscopic findings, diagnostic methods, and histological type and stages of the patients diagnosed with lung cancer in year 2005 were evaluated. Results: Over one year period, 138 patients were diagnosed with LC. 104 (75.4%) were men and 34 (24.6%) were women. Mean age was 63.78±9.53 (38-83). 118 (86.5%) of the patients had 39±16.34 (5-90) pack-years smoking history. Squamous cell carcinoma (SCC) was diagnosed in 40.6% of patients, adenocarcinoma in 29.0%, small cell carcinoma in 21.0%, conbined type in 8.0% and carcinoma with unidentified cell type in 1.4%. Squamous cell carcinoma was more common among smoking patients. It was determined that the distribution of histological types in this study was similar to the previous studies, however the incidence of LC was found as increased in females in our study when compared to previous studies. Conclusion: We conclude that SCC is the most common histological type in patients with LC in our clinic and the male to female ratio for LC is decreasing.

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