[Clinical and therapeutic profile of broncho-pulmonary adenocarcinomas]

Broncho-pulmonary adenocarcinoma get interest since many years because his increased prevalence. Between december 1998 and January 70 male patients, mean age 56 years, with broncho-pulmonary adenocarcinome were collected retrospectively. The epidémiologic, clinic, radiologic and evolutive data of this pathologic form of cancer was studied. The ratio increased from 10% in 1988 to 14% in 1996. Clinic manifestations was common. Radiologic features was represented essentially by a unique (82%) and péripheric (56%) opacity. The diagnosis, based on cytologic and histologic data, was assessed in 39% of cases by endoscopic biopsy. The investigation for the primitive neoplasic process was made in 18% of patients and found only 2 cases of extra-pulmonary neoplastic process. Curative treatment based on surgery is performed only in 28% of our patients regarding the advanced stage of disease explaining the low survival rates.