Related Experiment Video
Updated: Jul 29, 2026
06:03
Use of Electromagnetic Navigational Transthoracic Needle Aspiration (E-TTNA) for Sampling of Lung Nodules
Published on: May 23, 2015
Pattern of lung cancer in elderly
A Vigg1, S Mantri, Avanti Vigg
1Department of Respiratory Medicine, Apollo Hospitals, Hyderabad.
The Journal of the Association of Physicians of India
|January 15, 2004
Summary
Lung cancer in Indian patients over 60 often presents with cough, fever, and weight loss. Early suspicion is key, especially in elderly individuals with unexplained symptoms.
Area of Science:
- Oncology
- Pulmonology
- Epidemiology
Background:
- Lung cancer diagnosis in elderly Indian populations requires specific clinical evaluation.
- Understanding the clinical spectrum is crucial for timely diagnosis and management.
Purpose of the Study:
- To evaluate the clinical spectrum of primary lung cancer in Indian patients aged 60 and above.
- To analyze diagnostic methods and outcomes in this demographic.
Main Methods:
- Retrospective analysis of 1400 patients aged over 60 diagnosed with lung cancer between 1989-2000.
- Diagnostic procedures included fibreoptic bronchoscopy, transbronchial lung biopsy, and CT-guided fine needle aspiration biopsy.
Main Results:
- 512 confirmed primary lung cancer cases (439 males, 73 females).
- Common symptoms: cough (85%), fever, weight loss. Common radiological feature: collapse-consolidation (77%).
- Small cell lung cancer was more frequent in patients over 80.
Conclusions:
- Primary lung cancer should be suspected in elderly Indians presenting with unexplained cough, weight loss, and fever.
- Diagnostic yields varied, with transbronchial lung biopsy showing high efficacy.
Related Concept Videos
01:20COPD: Pathogenesis and Clinical Features
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
01:17Other Pulmonary Disorders
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
01:23Chronic Obstructive Pulmonary Disease II: Emphysema
Emphysema, a major phenotype of chronic obstructive pulmonary disease (COPD), is characterized by irreversible destruction of alveolar walls and permanent enlargement of distal airspaces. Unlike chronic bronchitis, which primarily affects the airways, emphysema predominantly involves the lung parenchyma, where structural damage leads to airflow limitation.PathophysiologyIt most commonly results from prolonged exposure to cigarette smoke and other toxic gases, particularly cigarette smoke.