par Labeeu, François 
Référence Acta chirurgica Belgica (Ed. bilingue), 75, 2, page (161-186)
Publication Publié, 1976
Référence Acta chirurgica Belgica (Ed. bilingue), 75, 2, page (161-186)
Publication Publié, 1976
Article révisé par les pairs
| Résumé : | Mediastinoscopy was positive in 219 out of 605 cases of bronchial carcinoma (36.2%). The author analyses age, sex, location of primitive tumor, histology, distribution of positive nodes and treatment used. Data on node involvement confirms the high malignancy of the oat cell carcinoma: though one of the rarest, this form accounts for 40% of mediastinal involvements. The data also confirm the homolateral lymphatic drainage of right side tumors (4% cross over) and the bilateral drainage of left side tumors (37% of cross overs). The proportion of involved nodes is 73%. In the 20 cases where surgical resection was performed this proportion was 58% and the nodes involved were mainly located in the lower portion of the accessible mediastinum. Survival curves are drawn according to various parameters (location, histology, treatment). Review of the literature yields some general conclusions on the operability of bronchial carcinoma. According to Belgian statistics, bronchial carcinoma is the leading cause of death from cancer in the male. Probable survival for patients with positive mediastinoscopy is 7.5 mth, extending from 4 mth in untreated cases to 12 mth after radio chemotherapy. Prognosis was best in the 16 patients who survived the immediate postoperative period. |
