ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
POSTOPERATIVE DIAGNOSTIC DIFFERENCES IN RESECTED NON-SMALL CELL LUNG CANCERS: RETROSPECTIVE REVIEW OF 93 CASES
GÜLEÇ Hakan, SAYAR Adnan, ÖLÇMEN Aysun, METİN Muzaffer, GÜR Aygün, TUNCAY Esin, ORTAKÖYLÜ Gönenç, ÇAMSARI Güngör, ÖLÇMEN Müfid
Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İSTANBUL

Purpose:

Differences between preoperative and postoperative histologic diagnoses may be noted in patients undergoing surgery for lung cancers. We investigated in this study postoperative diagnostic differences in resected non-small cell lung cancers.

Materials and Methods:

We retrospectively analyzed 93 patients (4 women) who had surgery for lung cancer between January 1995- February 1998. Bronchial biopsy was performed with fiberoptic bronchoscopy and transthoracic needle aspiration were used for diagnosis. Patients had a mean age of 54 (ranged 22-73) and had pneumonectomies (n=37), lobectomies (n=46), and bilobectomies (n=10).

Results:

Postoperative pathologic diagnosis was consistent with preoperative fiberoptic bronchoscopy in 86% and with transthoracic aspiration in 74% of time. Inconsistency of preoperative and postoperative diagnosis was noted in 17% of epidermoid carcinoma and 27% of adenocarcinoma cases. Only one patient underwent unnecessary thoracotomy and resection in this cohort.

Conclusion:

Discordanse between preoperative and postoperative diagnosis in non-small cell lung cancer histology did not affect the surgical approach or operation type very much.

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