AI Article Synopsis

  • The study examined lung cancer patient characteristics in Manaus, Brazil, analyzing data from 1995 to 2002.
  • Most patients were male (74.4%), with a mean age of 62; squamous cell carcinoma was the most common type.
  • A majority (73.4%) of patients received treatment, but survival rates were very low: 3-year survival was 6.5%, and 5-year survival was 3.5%.
  • The findings suggest that poor survival may be linked to late-stage diagnosis and limited access to specialized healthcare.

Article Abstract

Objective: To analyze the characteristics of patients with lung cancer.

Methods: A retrospective descriptive study of patients receiving a histopathological diagnosis of lung cancer between 1995 and 2002 in the city of Manaus, Brazil. Data were collected from the medical archives of three hospitals. Statistical analyses were carried out, and survival curves were generated by means of an actuarial estimator.

Results: Of the 352 patients selected, 262 (74.4%) were male and 90 (25.6%) were female. The mean age was 62 years. The following histological types were identified: squamous cell carcinoma, 62.8%; adenocarcinoma, 24.7%; small cell carcinoma, 9.1%; and large cell carcinoma, 3.4%. The most common stages were stages IIIB and IV, in 45% and 21.5%, respectively. Of the total sample, 73.4% were submitted to treatment. Of these, 51.4% underwent radiotherapy; 16.6%, surgery; 15.8%, chemotherapy; and 16.2%, radiotherapy in association with chemotherapy. Cumulative survival rates were low: three-year survival was 6.5%, and five-year survival was 3.5%.

Conclusions: In this group of patients with lung cancer, survival rates were considerably lower than those reported in the literature. This might be attributable to the limited access to the specialized health care system and the advanced stage of the disease at diagnosis.

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Source
http://dx.doi.org/10.1590/s1806-37132009000200009DOI Listing

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