Characterization of patients with lung cancer in a pneumology service
Keywords:
lung neoplasm, bronchoscopy, squamous cell carcinoma, pneumology service.Abstract
Introduction: Lung cancer is a public health problem worldwide and Cuba is not exempt from it.
Objective: Characterize patients diagnosed with lung cancer according to clinical, epidemiological and morphological variables.
Methods: A cross-sectional, descriptive and retrospective study was carried out on 145 adults diagnosed with lung cancer in the Pneumology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January, 2018 to December, 2019. For this purpose, in the statistical processing, the percentage and mean were used as summary measures for qualitative and quantitative variables, respectively; Likewise, there were applied the kappa coefficient to establish the degree of agreement between data and the Χ2 independence test to identify a significant association between the selected criteria of interest (with p<0.05).
Results: There was a predominance of the male sex (62.1%) and the age group of 65-75 years (37.9%). Regarding the histological type, squamous cell carcinoma was more common (42.7%). The right lung was the most affected, specifically its upper lobe (33.8%); also, there were morphological alterations, such as bronchial infiltration (100.0%), mucosal irregularity and edema (with 98.5% in each case), and inflammation with bronchial wall thickening (90.3%).
Conclusions: The determination of the clinical, epidemiological and morphological characteristics related to lung cancer makes it possible to carry out the correct follow-up of the patients and apply an appropriate therapeutic protocol.
Downloads
References
2. Arguedas-López J, Rodríguez-Paredes C, Carpio-Contreras MJ. Cáncer de pulmón. Acta Académica. 2019 [citado 08/08/2021];65(12):37-64. Disponible en: http://revista.uaca.ac.cr/index.php/actas/article/view/166/148
3. Álvarez Matos D, Nazario Dolz AM, Romero García LI, Castillo Toledo L, Rodríguez Fernández Z, Miyares Peña MV. Caracterización de los pacientes operados de cáncer de pulmón de células no pequeñas. Rev Cubana Cir. 2020 [citado 08/08/2021];59(2):962. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932020000200006
4. Rodríguez Martínez OS, Rojas Sánchez JH, Concepción López MA, Moreno Perera L, Orellana Meneses GA. Supervivencia de pacientes con cáncer de pulmón sometidos a cirugía de resección con linfoadenectomía por muestreo. Gac Méd Espirit. 2019 [citado 08/08/2021];21(3):51-61. Disponible en: http://scielo.sld.cu/pdf/gme/v21n3/1608-8921-gme-21-03-51.pdf
5. Acosta Sánchez D, Abad Ferrer M, Castillo Varona E, Nápoles Smith N, Cabo García A. Aspectos broncoscópicos e histológicos en pacientes con cáncer de pulmón. MEDISAN. 2020 [citado 08/08/2021];24(3):1-12. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192020000300431
6. Miranda Ramos MA. Perspectiva de envejecimiento en Cuba. Arch Méd Camagüey. 2016 [citado 08/08/2021];20(3):13-15. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552016000300001
7. French CA. NUT Carcinoma: Clinicopathologic features, pathogenesis, and treatment. Pathol Int. 2018;68(11):583–95.
8. Rodríguez L, Otero W, Grosso F. Cáncer metastásico con primario desconocido. Una revisión. Rev Colomb Gastroenterol. 2018 [citado 26/06/2021];33(2). Disponible en: https://revistagastrocol.com/index.php/rcg/article/view/254/222
9. Durán-Acuña R, Araque C, Chávez JJ, Jiménez J, Polo F, Parra-Medina R. Concordancia diagnóstica entre la broncoscopia y la histopatología en pacientes con neoplasias pulmonares. Neumol Cir Torax. 2020 [citado 26/06/2021];78(2):126-32. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0028-37462019000200126
10. Kumar V, Abbas AK. Robbins y Cotran. Patología estructural y funcional. 10 ed. Madrid: Elsevier; 2021. p. 677-38.
11. Smeltzer MP, Wynes MW, Lantuejoul S, Soo R, Ramalingam SS, Varella-Garcia M, et al. The International Association for the Study of Lung Cancer global survey on molecular testing in lung cancer. J Thorac Oncol. 2020 [citado 26/06/2021];15(9):1434–48. Disponible en: https://www.jto.org/action/showPdf?pii=S1556-0864%2820%2930383-X
12. Suzuki S, Goto T. Role of Surgical Intervention in Unresectable Non-Small Cell Lung Cancer. J Clin Med. 2020 [citado 26/06/2021];9(12):3881. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760873/
13. Revueltas-Jiménez F, Revueltas-Jiménez JL, Pleguezuelos-Ventura Á, Rodríguez-Torres JM, Quesada-Guirado G, Mas-Alcalá E, et al. Conociendo el carcinoma epidermoide de pulmón. Archivos de Medicina Universitaria. 2021 [citado 26/06/2021];3(1):178-83. Disponible en: https://digibug.ugr.es/bitstream/handle/10481/69185/ES.%20Conociendo%20el%20carcinoma%20epidermoide%20de%20pulm%c3%b3n.pdf?sequence=1&isAllowed=y
14. Figueiredo VR, Cardoso PFG, Jacomelli M, Santos LM, Minata M, Terra RM. EBUS-TBNA versus mediastinoscopia cirúrgica no estadiamento linfonodal mediastinal do cáncer de pulmão de células não pequeñas potencialmente operável: revisão sistemática e meta-análise. J Bras Pneumol. 2020 [citado 26/06/2021];46(6):129-38. Disponible en: https://www.scielo.br/j/jbpneu/a/8ZKCTn7PYK9NPqSd5tdymzC/?format=pdf&lang=pt
15. Pérez Alfonso PP. Citología aspirativa con aguja fina transbroncoscópica guiada por ultrasonido endobronquial. Revista Cubana de Medicina. 2019 [citado 26/06/2021];58(3):1-5. Disponible en: https://revmedicina.sld.cu/index.php/med/article/view/1224/1312
16. Barrionuevo CC, Dueñas Hancco D. Clasificación actual del carcinoma de pulmón. Consideraciones histológicas, inmunofenotípicas, moleculares y clínicas. Horiz Med. 2019 [citado 26/06/2021];19(4):74-83. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1727-558X2019000400011
17. Seijo LM, Peled N, Ajona D, Boeri M, Field JK, Sozzi G, et al. Biomarkers in lung cancer screening: Achievements, promises, and challenges. J Thorac Oncol. 2019 [citado 06/08/2021];14(3):343–57. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494979/
18. Ayala León SJ, Agüero MA, Gauna C, Ayala León M. Factores etiológicos y caracterización de pacientes con cáncer de pulmón en el Instituto Nacional del Cáncer, Paraguay. Rev Virtual Soc Parag Med Int. 2020 [citado 06/08/2021];7(1):56-65. Disponible en: http://www.revistaspmi.org.py/index.php/rvspmi/a.rticle/download/156/159/
19. Sánchez-Ríos CP, Rodríguez-Cid JR, Martínez-Barrera LM, Santillán Doherty P, Alatorre-Alexander JA. Descripción clínico-epidemiológica y molecular del cáncer de pulmón en un centro de referencia nacional. Neumol Cir Tórax. 2019 [citado 06/08/2021];78(4). Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0028-37462019000400356
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
Guidelines for authors
