Authors : Aswani A, Aswani A, Ramakrishna Rachakonda, Ramakrishna Rachakonda
DOI : 10.18231/j.ijirm.2019.020
Volume : 4
Issue : 2
Year : 2019
Page No : 86-89
Background: To study the clinical and radiological profile of patients diagnosed to have primary lung cancer in our tertiary care centre.
Methodology: 100 patients diagnosed as primary lung cancer were studied by clinical, radiological, biochemical and histopathological examination.
Results: 82% patients are males and 18% are females. Average age of the patients was 57.6. 82% of them are smokers and 18% are non smokers. Non smoking females gave the history of exposure to passive smoking or biological fuel. All the patients were symptomatic at the time of diagnosis and commonest symptom was cough. Hemoptysis was seen in 22%. History of Pulmonary tuberculosis was seen in 19.5% of males and 11.1% of females. 79% of patients belong to above 51 years of age. 87.82% of patients gave a smoking history of more than 20 pack years. Right lung, upper and middle lobes are commonly involved. 68% of patients presented with mass lesions. Predominant symptom was cough present in all patients followed by shortness of breath and chest pain. Mass and intrathoracic lymphadenopathy were common presentation. 74% patients presented with contralateral hilar. Sub-carinal, contralateral mediastinal or supraclavicular lymphadenopathy suggesting inoperability. Single or multiple site extra-pulmonary metastasis was seen in liver, bone, brain and adrenals.
Conclusions: Primary lung cancer is a disease of 6th decade. Smoking is a significant causative factor. Most of the patients presented in inoperable state. Measures to discourage smoking habits among youth can prevent the dreadful disease to some extent.
Keywords: Primary lung cancer; Hemoptysis; Mass lesion; Lymphadenopathy; Metastasis.