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TUMOUR CELL FREQUENCY IN PLEURAL LAVAGE IN CASES WITH STAGE I EPIDERMOID LUNG CANCER WITH NO VISCERAL PLEURAL INVOLVEMENT
Author(s) -
Oguzkaya Fahri,
Akçali Yigit,
Bilgin Mehmet,
Haberal Arif,
Akgün Hülya
Publication year - 2005
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2005.03355.x
Subject(s) - medicine , thoracotomy , pleural effusion , lung cancer , cytology , respiratory disease , malignant pleural effusion , pleural cavity , stage (stratigraphy) , lung , pleural disease , therapeutic irrigation , bronchoalveolar lavage , pathology , radiology , surgery , paleontology , biology
Background: The presence of tumour cells in the pleural lavage of lung cancer patients with no malignant pleural effusion is a negative prognosticator. In the present study we aimed to determine the lowest frequency of positive pleural lavage in lung cancer. Methods: The study included 26 consecutive patients who underwent thoracotomy for curative resection for Stage I epidermoid lung cancer. The cases had neither visceral pleural involvement nor obstructive pneumopathy. The patients were applied pleural lavage cytology immediately after thoracotomy. Results: The frequency of malignant cells in pleural lavage was 7.7% (Stage IA, n = 1, and IB, n = 1). Conclusion: Our series, in which we predicted the lowest probability of the presence of tumour cells in pleural lavage, had such a frequency of positive tumour cells that shouldn't be neglected. The present study concluded that pleural lavage cytology before pulmonary resection should routinely be performed in ‘all’ lung cancers and that pleural lavage cytology may also be included in the current staging system.