[The quality of survival of patients with pulmonary cancer].
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Biomedical subjects
Publications and source records attributed to M L Megdiche.
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Broncho-pulmonary adenocarcinoma get interest since many years because his increased prevalence. Between december 1998 and January 70 male patients, mean age 56 years, with broncho-pulmonary adenocarcinome were collected retrospectively. The epidémiologic, clinic, radiologic and evolutive data of this pathologic form of cancer was studied. The ratio increased from 10% in 1988 to 14% in 1996. Clinic manifestations was common. Radiologic features was represented essentially by a unique (82%) and péripheric (56%) opacity. The diagnosis, based on cytologic and histologic data, was assessed in 39% of cases by endoscopic biopsy. The investigation for the primitive neoplasic process was made in 18% of patients and found only 2 cases of extra-pulmonary neoplastic process. Curative treatment based on surgery is performed only in 28% of our patients regarding the advanced stage of disease explaining the low survival rates.
Local treatment with intra vesical BCG for bladder carcinoma have few complications. Pulmonary side effects are rare, like interstitial pneumonitis. We report a case of a 77-year-old man, treated with BCG for bladder carcinoma who developed illness and tumoral chest-X-ray opacity. Mycobacterium tuberculosis bovis was isolated in culture and 2 years after in sputum. Physio pathologic mechanism of pulmonary features remains controversial, however this case suggest that lung lesions can be result of an infection process.
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