Routine follow-up after surgical treatment of lung cancer: is chest CT useful?
ABSTRACT Objective: To report the experience of a routine follow-up program based on medical visits and chest CT. Methods: This was a retrospective study involving patients followed after complete surgical resection of non-small cell lung cancer between April of 2007 and December of 2015. The foll...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
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| Series: | Jornal Brasileiro de Pneumologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000400204&tlng=pt |
| _version_ | 1819009219353903104 |
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| author | Juliana B F Morellato Marcos D Guimarães Maria L L Medeiros Hélio A Carneiro Alex D Oliveira João P O Medici Marcus V B Baranauskas Jefferson L Gross |
| author_facet | Juliana B F Morellato Marcos D Guimarães Maria L L Medeiros Hélio A Carneiro Alex D Oliveira João P O Medici Marcus V B Baranauskas Jefferson L Gross |
| author_sort | Juliana B F Morellato |
| collection | DOAJ |
| description | ABSTRACT Objective: To report the experience of a routine follow-up program based on medical visits and chest CT. Methods: This was a retrospective study involving patients followed after complete surgical resection of non-small cell lung cancer between April of 2007 and December of 2015. The follow-up program consisted of clinical examination and chest CT. Each follow-up visit was classified as a routine or non-routine consultation, and patients were considered symptomatic or asymptomatic. The outcomes of the follow-up program were no evidence of cancer, recurrence, or second primary lung cancer. Results: The sample comprised 148 patients. The median time of follow-up was 40.1 months, and 74.3% of the patients underwent fewer chest CTs than those recommended in our follow-up program. Recurrence and second primary lung cancer were found in 17.6% and 11.5% of the patients, respectively. Recurrence was diagnosed in a routine medical consultation in 69.2% of the cases, 57.7% of the patients being asymptomatic. Second primary lung cancer was diagnosed in a routine medical appointment in 94.1% of the cases, 88.2% of the patients being asymptomatic. Of the 53 patients who presented with abnormalities on chest CT, 41 (77.3%) were diagnosed with cancer. Conclusion: Most of the cases of recurrence, especially those of second primary lung cancer, were confirmed by chest CT in asymptomatic patients, indicating the importance of a strict follow-up program that includes chest CTs after surgical resection of lung cancer. |
| first_indexed | 2024-12-21T00:52:53Z |
| format | Article |
| id | doaj.art-51f5f65b1ed64b4e9d02840d8abd29f4 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-21T00:52:53Z |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-51f5f65b1ed64b4e9d02840d8abd29f42022-12-21T19:21:22ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375610.36416/1806-3756/e20210025Routine follow-up after surgical treatment of lung cancer: is chest CT useful?Juliana B F MorellatoMarcos D GuimarãesMaria L L MedeirosHélio A CarneiroAlex D OliveiraJoão P O MediciMarcus V B BaranauskasJefferson L GrossABSTRACT Objective: To report the experience of a routine follow-up program based on medical visits and chest CT. Methods: This was a retrospective study involving patients followed after complete surgical resection of non-small cell lung cancer between April of 2007 and December of 2015. The follow-up program consisted of clinical examination and chest CT. Each follow-up visit was classified as a routine or non-routine consultation, and patients were considered symptomatic or asymptomatic. The outcomes of the follow-up program were no evidence of cancer, recurrence, or second primary lung cancer. Results: The sample comprised 148 patients. The median time of follow-up was 40.1 months, and 74.3% of the patients underwent fewer chest CTs than those recommended in our follow-up program. Recurrence and second primary lung cancer were found in 17.6% and 11.5% of the patients, respectively. Recurrence was diagnosed in a routine medical consultation in 69.2% of the cases, 57.7% of the patients being asymptomatic. Second primary lung cancer was diagnosed in a routine medical appointment in 94.1% of the cases, 88.2% of the patients being asymptomatic. Of the 53 patients who presented with abnormalities on chest CT, 41 (77.3%) were diagnosed with cancer. Conclusion: Most of the cases of recurrence, especially those of second primary lung cancer, were confirmed by chest CT in asymptomatic patients, indicating the importance of a strict follow-up program that includes chest CTs after surgical resection of lung cancer.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000400204&tlng=ptLung neoplasms/surgeryNeoplasm recurrence, localNeoplasms, second primary |
| spellingShingle | Juliana B F Morellato Marcos D Guimarães Maria L L Medeiros Hélio A Carneiro Alex D Oliveira João P O Medici Marcus V B Baranauskas Jefferson L Gross Routine follow-up after surgical treatment of lung cancer: is chest CT useful? Jornal Brasileiro de Pneumologia Lung neoplasms/surgery Neoplasm recurrence, local Neoplasms, second primary |
| title | Routine follow-up after surgical treatment of lung cancer: is chest CT useful? |
| title_full | Routine follow-up after surgical treatment of lung cancer: is chest CT useful? |
| title_fullStr | Routine follow-up after surgical treatment of lung cancer: is chest CT useful? |
| title_full_unstemmed | Routine follow-up after surgical treatment of lung cancer: is chest CT useful? |
| title_short | Routine follow-up after surgical treatment of lung cancer: is chest CT useful? |
| title_sort | routine follow up after surgical treatment of lung cancer is chest ct useful |
| topic | Lung neoplasms/surgery Neoplasm recurrence, local Neoplasms, second primary |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000400204&tlng=pt |
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