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Naslov:Idiopathic pulmonary fibrosis in patients with early-stage non-small-cell lung cancer after surgical resection
Avtorji:Hribernik, Nežka (Avtor)
Požek, Igor (Avtor)
Kern, Izidor (Avtor)
Jezik:Angleški jezik
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek:Background. The outcomes of patients with both lung cancer and idiopathic pulmonary fibrosis (IPF) are unfavorable. Therapeutic interventions for lung cancer such as surgery can cause acute exacerbation of IPF (aeIPF). This study aimed to assess the frequency of IPF in a group of patients with early-stage non-small-cell lung cancer (NSCLC) and to report clinical characteristics and outcomes of this cohort of patients. Patients and methods. This observational cohort retrospective study analyzed 641 pathological records of patients after surgical resection of early-stage non-small-cell lung cancer (NSCLC) at University Clinic Golnik from May 2010 to April 2017. Pathological records of NSCLC with coexisting IPF were reviewed. CT scans and biopsy specimens for this group of patients were analyzed by a thoracic radiologist and pathologist, independently. We searched radiological and pathological features of usual interstitial pneumonia (UIP) pattern in this group of patients. We report the clinical characteristics and outcome of this cohort of patients. Results. Out of 641 patients with early-stage NSCLC, only 13 (2.0%) had histologically and radiologically proven coexisting UIP/IPF. Squamous cell carcinoma was the most common type of lung cancer (7/13 patients). The majority of tumors were small size (all being pT1 or pT2), stage I–II (11/13 patients), located in the lower lung lobes (11/13 patients). Almost all patients were current or ex-smokers (11/13 patients). There were two pathologically confirmed fatal cases (15.4%) due to aeIPF in the first two months after radical treatment, one after adjuvant radiotherapy and the other after surgery. Out of 13 patients, one patient had a lung cancer relapse. Conclusions. Frequency of UIP/IPF in surgically treated early stage NSCLC is rather low. Our observational study shows that radical treatment of lung cancer can cause aeIPF with dismal outcome in this group of patients. The standard of care in these mostly elderly patients still remains unresolved.
Ključne besede:non-small-cell lung cancer, early-stage cancer, idiopathic pulmonary fibrosis, surgery, radiotherapy
Leto izida:2019
Založnik:Sciendo
Izvor:Slovenija
UDK:616.2
ISSN pri članku:1318-2099
OceCobissID:32649472 Povezava se odpre v novem oknu
COBISS_ID:3298171 Povezava se odpre v novem oknu
DOI:10.2478/raon-2019-0032 Povezava se odpre v novem oknu
Število ogledov:1067
Število prenosov:565
Datoteke:.pdf PDF - Predstavitvena datoteka, prenos (969,72 KB)
 
Nadgradivo:Radiol. oncol.
Slovenian Medical Society - Section of Radiology
 
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
Avtorske pravice:© 2019 Hribernik Nezka, Pozek Igor, Kern Izidor
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Licence

Licenca:CC BY-NC-ND 3.0, Creative Commons Priznanje avtorstva-Nekomercialno-Brez predelav 3.0
Povezava:http://creativecommons.org/licenses/by-nc-nd/3.0/deed.sl
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Začetek licenciranja:26.06.2019

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