Snehal Baban Jadhav

Abstract

Background: Extrathoracic metastases (ETMs) are common in non- small cell lung cancer (NSCLC) at presentation. Objective: Our study was to detect the percentage distribution of ETMs in various organs at presentation in patients with NSCLC. Methodology: Between January 2017 and November 2018 inpatient records of all NSCLC was retrospectively analysed for ETMs. Results: We included 71 patients of NSCLC. ETMs were diagnosed in 35.2% (25/71) of the patients at presentation. 18 fluorodeoxy glucose positron emission tomography combined with Computed tomography (FDG PET/CT) played crucial role in detecting unexpected ETMs. Brain was the most common organ involved in extrathoracic metastases. Conclusions: Distant metastases at presentation are usual in NSCLC and FDG-PET CT is the key imaging modality to be done in all patients of NSCLC to detect unexpected ETMs. Keywords: Non-small cell lung cancer; Extrathoracic metastases; PET/CT.

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Abstract

Background: There is a sharp rise in the occurrence of lung malignancy in recent years with considerable change in clinical and pathological course. Lung cancer is vigorous in nature with poor outcome. Objective: Our study intends to assess clinicopathological aspects of patients with lung malignancy in Eastern India. Methodology: We retrospectively assessed the inpatient documents of histopathologically proven cases of primary lung malignancy from July 2016 to June 2018. Results: We enrolled 63 patients of lung cancer. The disease showed 77.7% male predominance (M:F 3.5:1) and 73% occurrence in smokers. Majority of our patient (52.3%) aged greater than 60 years with an average age of 60.36 years. Productive cough in 95.2% and tumour mass in 85.7% was the common symptom and radiological presentation respectively. Histologically adenocarcinoma was seen in 66.67% of the patient and prevailed over 28.57% of squamous cell carcinoma. Conclusions: Adenocarcinoma of lung exceeds the decade old prevalent squamous cell carcinoma. Keywords: Lung cancer; Productive cough; Lung mass; Adenocarcinoma.

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