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Title:Detection of early lung cancer lesions in surgical resections and in bronchial and transbronchial biopsies
Authors:ID Rott, Tomaž (Author)
ID Jerše, Maja (Author)
ID Terčelj-Zorman, Marjeta (Author)
ID Eržen, Janez (Author)
Files:.pdf PDF - Presentation file, download (1,11 MB)
MD5: 9E6BCBFF722935B79B214B24C0B8F1A0
 
Language:English
Typology:1.06 - Published Scientific Conference Contribution (invited lecture)
Organization:Logo OI - Institute of Oncology
Abstract:Background. Overall bad progmpsis of lung is mostly due to too late detection of early lung cancer, which may be teated with good success. Therefore different diagnostic methods are developing for more efficient detection of early lung cancer: besides modern radiological, bronchoscopic methods with additional fluorescence techniques, quantitative cytological investigations, also histological and molecular investigations are included. History may reveal early preinvasive lung xcancer lesions, associated early during multistep lung carcinogemesis with molecular genetic changes. Patients and methods. Preinvasive epithelial lung cancer lesions we searched in two groups of patients. In the first group of 316 patients from the period March 2003 - August 2006, 498 bronchial and transbronchial biopsies were examined for squamous metaplasia and dysplasia, carcinoma in situ, and invasive tumours. Inthe second group of 238 patients from the period January 2004 - August 2006,resected primary lung tumours were analysed for preinvasive neuroendocrine tumours and atypical adenomatous hyperplasia. Resuots. The mostfrequent changes in bronchial and transbronchial biopsies were squamous metaplasia (46.5%), simple or goblet cell hyperplasia of the bronchial epithelium (44.3%), malignant tumours (20.66%) and squamous dysplasia (16.1%),but rare carcinoma in situ (0.63%). Diffuse idiopoathic pulmonary neuroendocrine cell hyperplasia was found in 15 (6.3%) cases in the vicinity of 238 resected lung cancer specimens, carcinoid in12 patients (5%), and mostly combined large neuroendocrine cancer in 21 patients (8.8%). Atypical denomatous hyperplasia was found in 2 patients. Conculsions. Classical histological analysis should be focused on detection of early preinvasive epithelial lung cancer lesions. (Abstract truncated at 2000 characters).
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2006
Publisher:Association of Radiology and Oncology
Year of publishing:2006
Number of pages:str. S67-76
Numbering:Letn. 40, suppl. 1
Source:Ljubljana
PID:20.500.12556/DiRROS-17444 New window
UDC:616.2
ISSN on article:1318-2099
COBISS.SI-ID:22158297 New window
Copyright:by Authors
Note:BSDOCID127238;
Publication date in DiRROS:05.12.2023
Views:522
Downloads:133
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Record is a part of a proceedings

Title:Presejanje in zgodnje odkrivanje raka
COBISS.SI-ID:2481983 New window

Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:Odkrivanje zgodnjih oblik pljučnega raka v kirurških resektatih in bronhialnih in transbronhialnih biopsijah
Abstract:Izhodišča. V celoti slaba napoved preživetja pljučnega raka je v večji meri posledica poznega oooooooodkrivanja te bolezni, saj le zgodnje oblike lahko uspešno zdravimo. Zato danes razvijamo različne diagnostične metode, s katerimi bi lahko uspešneje odkrivali zgodnje oblike pljučnega raka. Poleg modernih raduioloških, novejših bronhoskopskih z dosdatnimi fluorescenčnimi metodami, kvantitativnih citoloških preiskav tudi histološke in molekularne. Histoklogija lahko odkrije predinvazivne oblike pljučnega raka, ki jih že zgodaj na določenih stopnjah kancerogeneze spremljajo določene molekularne oziroma genetske spremembe. Bolniki in metode. Predinvazivne epitelne oblike pljučnega raka so isjkali pri dveh skupinah bolnikov. V prvi skupini 316 bolnikov iz ob dobja od marca 2003 do avgusta 2006 so v 498 bronhialnih in transbronhialnih biopsijah iskali predvsem ploščatocelično metaplazijo in displazijo, carcinoma in situ in invazivne tumorje. V drugi skupini 238 bolonikov iz obdobja od januarja 2004 do avgusta 2006, ki so jim kirurško odstranili primarne pljučne tumorje, pa so iskali predvsem predinvazivne in invazivne nevroendokrine tumorje in atipično adenomatozno hiperplazijo. Rezultati. Najpogostejše spremembe v bronhialnih biopsijah so bile ploščatocelična metaplazija (46.5%), enostavna ali mukocelularna hiperplazija bronhialnega epitelija (44.3%), maligni tumorji (20.55%) in dispazija (16.1%),redko je bil odkrit carcinoma in situ (0.63%). V pljučnih resektatih je bila difuzna idiopatska hiperplazija pljučnih nevroendokrinih celic odkritapri 15 (6.3%), karcinoid pri 12 (5%) in pretežno kombinirani velikocelični nevroendokrini karcinom pri 21 bolnikih (8.8%). Atipična adenomatozna hiperplazija je bila prisotna pri 2 bolnikih. Zaključki. Klasičnihistološki pregled mora biti osredotočen na odkrivanje zgodnjih predinvazivnih epitelnih oblik pljučnega raka. (Izvleček prekinjen pri 2000 znakih)


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