Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece

Introduction There is a current lack of epidemiological data regarding lung cancer in Greece. The aim of this study was to record and analyze pertinent data regarding demographic, clinical, radiological, bronchoscopic and histological findings in lung cancer cases over a ten-year period collected fr...

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Main Authors: Marousa Kouvela, Sotiris Kakavas, Steven Kompogiorgas, Konstantinos Kotsifas, Stavroula Mpoulia, Vasiliki Lazarou, Georgia-Eleni Chrysou, Evangelos Balis
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Pneumon
Subjects:
Online Access:https://www.pneumon.org/Lung-cancer-epidemiology-based-on-bronchoscopic-nand-imaging-findings-from-newly,174851,0,2.html
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author Marousa Kouvela
Sotiris Kakavas
Steven Kompogiorgas
Konstantinos Kotsifas
Stavroula Mpoulia
Vasiliki Lazarou
Georgia-Eleni Chrysou
Evangelos Balis
author_facet Marousa Kouvela
Sotiris Kakavas
Steven Kompogiorgas
Konstantinos Kotsifas
Stavroula Mpoulia
Vasiliki Lazarou
Georgia-Eleni Chrysou
Evangelos Balis
author_sort Marousa Kouvela
collection DOAJ
description Introduction There is a current lack of epidemiological data regarding lung cancer in Greece. The aim of this study was to record and analyze pertinent data regarding demographic, clinical, radiological, bronchoscopic and histological findings in lung cancer cases over a ten-year period collected from a hospital in Central Greece, and to investigate potential specific features of lung cancer in Greek patients. Methods This was a retrospective cohort study. The data collected were obtained from newly diagnosed lung cancer patients with fiberoptic bronchoscopy during a ten-year period (2009–2018). From the database, we have extracted the demographic data, the tumor location based on the computed tomography (CT) scans, bronchoscopy report with associated images and the histopathology/cytology reports that yielded the diagnosis. Results A total number of 637 patients were diagnosed with primary lung cancer during the decade 2009–2018 from the authors in a major tertiary hospital in Athens, Greece. Most of the patients were aged 50–69 years (57.6%) and the majority were men (77.1%) and active smokers (74.1%). The most common histological type was adenocarcinoma (31.7%). In the majority of cases, the patients presented initially at advanced stages. At the time of diagnosis, the most common finding was a lung mass or nodule in computed tomography and an endobronchial mass in fiberoptic bronchoscopy. The patients’ lesions were detected most frequently in the upper lobes. Conclusions The results show a trend in ADLC histology, an increase in the proportion of women with lung cancer and highlight the significant percentage of patients diagnosed in advanced stages. This reflects the need for effective tobacco control strategies to reduce the incidence of lung cancer and a comprehensive national screening program for the purposes of early detection.
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spelling doaj.art-8301d8fecd0849b1a30efa013f33e0e82024-04-04T07:37:14ZengEuropean PublishingPneumon1105-848X1791-49142024-01-0137111010.18332/pne/174851174851Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central GreeceMarousa Kouvela0https://orcid.org/0000-0003-3002-9851Sotiris Kakavas1Steven Kompogiorgas2Konstantinos Kotsifas3Stavroula Mpoulia4Vasiliki Lazarou5Georgia-Eleni Chrysou6Evangelos Balis7Oncology Unit, 3rd Department of Internal Medicine, ‘Sotiria’ General Hospital of Chest Diseases, School of Medicine, National and Kapodistrian University of Athens School of Health Sciences, Athens, GreeceIntensive Care Unit, Henry Dunant Hospital Center, Athens, GreeceDepartment of Pulmonary Medicine, Evaggelismos General Hospital of Athens, Athens, GreeceDepartment of Pulmonary Medicine, Evaggelismos General Hospital of Athens, Athens, GreeceDepartment of Pulmonary Medicine, Evaggelismos General Hospital of Athens, Athens, GreeceDepartment of Pulmonary Medicine, Evaggelismos General Hospital of Athens, Athens, GreeceEmergency Department, ‘Sotiria’ General Hospital of Chest Diseases, Athens, GreeceDepartment of Pulmonary Medicine, Evaggelismos General Hospital of Athens, Athens, GreeceIntroduction There is a current lack of epidemiological data regarding lung cancer in Greece. The aim of this study was to record and analyze pertinent data regarding demographic, clinical, radiological, bronchoscopic and histological findings in lung cancer cases over a ten-year period collected from a hospital in Central Greece, and to investigate potential specific features of lung cancer in Greek patients. Methods This was a retrospective cohort study. The data collected were obtained from newly diagnosed lung cancer patients with fiberoptic bronchoscopy during a ten-year period (2009–2018). From the database, we have extracted the demographic data, the tumor location based on the computed tomography (CT) scans, bronchoscopy report with associated images and the histopathology/cytology reports that yielded the diagnosis. Results A total number of 637 patients were diagnosed with primary lung cancer during the decade 2009–2018 from the authors in a major tertiary hospital in Athens, Greece. Most of the patients were aged 50–69 years (57.6%) and the majority were men (77.1%) and active smokers (74.1%). The most common histological type was adenocarcinoma (31.7%). In the majority of cases, the patients presented initially at advanced stages. At the time of diagnosis, the most common finding was a lung mass or nodule in computed tomography and an endobronchial mass in fiberoptic bronchoscopy. The patients’ lesions were detected most frequently in the upper lobes. Conclusions The results show a trend in ADLC histology, an increase in the proportion of women with lung cancer and highlight the significant percentage of patients diagnosed in advanced stages. This reflects the need for effective tobacco control strategies to reduce the incidence of lung cancer and a comprehensive national screening program for the purposes of early detection.https://www.pneumon.org/Lung-cancer-epidemiology-based-on-bronchoscopic-nand-imaging-findings-from-newly,174851,0,2.htmllung cancerepidemiologybronchoscopy
spellingShingle Marousa Kouvela
Sotiris Kakavas
Steven Kompogiorgas
Konstantinos Kotsifas
Stavroula Mpoulia
Vasiliki Lazarou
Georgia-Eleni Chrysou
Evangelos Balis
Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
Pneumon
lung cancer
epidemiology
bronchoscopy
title Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
title_full Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
title_fullStr Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
title_full_unstemmed Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
title_short Lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in Central Greece
title_sort lung cancer epidemiology based on bronchoscopic and imaging findings from newly diagnosed patients in central greece
topic lung cancer
epidemiology
bronchoscopy
url https://www.pneumon.org/Lung-cancer-epidemiology-based-on-bronchoscopic-nand-imaging-findings-from-newly,174851,0,2.html
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