偶然与查检测到的I期肺癌手术患者的结果
Shubham Gulati1, Tara Ivic-Pavlicic2, Jonathan Joasil3
1Icahn School of Medicine at Mount Sinai, New York, New York; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
偶然发现和肺癌查产生类似的I期肺癌结果. 这表明,由于其他原因,成像是符合条件的患者的有价值的诊断工具,与低剂量计算机断层扫描查相当.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 肺癌查对于早期诊断至关重要,但面临着低招生率.
- 偶然发现在诊断符合条件的患者肺癌方面发挥着重要作用.
- 没有对偶然检测到的肺癌与查检测到的肺癌进行比较分析.
研究的目的:
- 为了比较偶然检测到的I期肺癌与查检测到的I期肺癌,在接受胸部手术的患者中.
- 分析两个群体之间的人口变量,并发症,瘤特征,手术方法和术后结果.
主要方法:
- 在西奈山医院胸部手术病例的回顾性分析 (2012年3月 - 2022年6月).
- 纳入标准:符合肺癌查和第一阶段诊断的资格.
- 偶然与查检测到的肺结节的比较,人口统计,并发症,瘤分期,手术细节和结果.
主要成果:
- 确定了153种偶然检测到的和67种查检测到的I期肺癌.
- 偶然的队列患者年龄较大,更有可能戒烟,并有更多的并发症.
- 两组之间在瘤特征,手术方法,术后结果或生存率方面没有发现显著差异.
结论:
- 偶然或通过查检测到的I期肺癌在瘤特征,手术方法或结果上没有显著差异.
- 由于非查原因的成像是适合患者肺癌检测的宝贵诊断工具.
- 偶然发现与低剂量计算机断层扫描查一样有效,用于识别I期肺癌.
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