Routine follow-up after surgical treatment of lung cancer: is chest CT useful?

被引:5
作者
Morellato, Juliana B. F. [1 ,3 ]
Guimaraes, Marcos D. [2 ,3 ]
Medeiros, Maria L. L. [1 ,3 ]
Carneiro, Helio A. [1 ,3 ]
Oliveira, Alex D. [2 ,3 ]
Medici, Joao P. O. [1 ,3 ]
Baranauskas, Marcus V. B. [1 ,3 ]
Gross, Jefferson L. [1 ,3 ]
机构
[1] AC Camargo Canc Ctr, Dept Cirurgia Torac, Sao Paulo, SP, Brazil
[2] AC Camargo Canc Ctr, Dept Imagem, Sao Paulo, SP, Brazil
[3] AC Camargo Canc Ctr, Sao Paulo, SP, Brazil
关键词
Lung neoplasms/surgery; Neoplasm recurrence; local; Neoplasms; second primary; COMPUTED-TOMOGRAPHY; SURVEILLANCE; RESECTION;
D O I
10.36416/1806-3756/e20210025
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Objective: To report the experience of a routine follow-up program based on medical visits and chest CT. Methods: This was a retrospective study involving patients followed after complete surgical resection of non-small cell lung cancer between April of 2007 and December of 2015. The follow-up program consisted of clinical examination and chest CT. Each follow-up visit was classified as a routine or non-routine consultation, and patients were considered symptomatic or asymptomatic. The outcomes of the follow-up program were no evidence of cancer, recurrence, or second primary lung cancer. Results: The sample comprised 148 patients. The median time of follow-up was 40.1 months, and 74.3% of the patients underwent fewer chest CTs than those recommended in our follow-up program. Recurrence and second primary lung cancer were found in 17.6% and 11.5% of the patients, respectively. Recurrence was diagnosed in a routine medical consultation in 69.2% of the cases, 57.7% of the patients being asymptomatic. Second primary lung cancer was diagnosed in a routine medical appointment in 94.1% of the cases, 88.2% of the patients being asymptomatic. Of the 53 patients who presented with abnormalities on chest CT, 41 (77.3%) were diagnosed with cancer. Conclusion: Most of the cases of recurrence, especially those of second primary lung cancer, were confirmed by chest CT in asymptomatic patients, indicating the importance of a strict follow-up program that includes chest CTs after surgical resection of lung cancer.
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页数:6
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