[Pathological profile of lung carcinoma in Tunisia. About 869 cases]

To establish the pathologic profile of broncho-pulmonary carcinoma, 869 cases were retrospectively collected. Mean age was 60, 1 years (range 13 - 98 years), with men predominating (10, 3 male (M) / 1 female (F). This sex-ratio was less than one recorded in 1994 (11, 5 M / 1F), and then the question is: did the womanly broncho-pulmonary carcinoma on the increase, in Tunisia?. 16, 5 % of women and 3, 9% of men were aged less than 41 years, but sex ratio was 2,4M / 1F. They represented 5, 1% of all cases. Such result differs from reports in the literature (1 - 3, 4%). In histological data, we noted that adenocarcinoma is actually more frequent than epidermoid carcinoma. Its ratio increased from 15, 3 % in 1994 to 30, 3 % in 2003, whereas, epidermoid carcinoma's ratio decreased from 42, 8 % to 29, 5 %. The relationship tobacco- different histological type of broncho-pulmonary carcinoma was clearly observed, varying between 90, 6% (adenocarcinoma) and 100 % (large cell carcinoma).