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Category: Volume 08 Issue 01 January 2020
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Title: Lung cancer in women: Clinico-pathological presentation of 200 cases at RIMS, Imphal

Authors: Dr T. Dhaneshor Sharma, Dr Akoijam Sunita, Dr C. Lalrindiki, Dr Deiwakor Chyrmang, Dr James Lalzuitluanga Chongthu

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.65

Abstract

Background: Lung cancer is the commonest cancer worldwide. The prevalence is increasing in women. There is also a changing trend in histology with increase in adenocarcinoma type.

Material and Methods: This is a retrospective analysis of 200 cases with lung cancer who were registered in the Department of Radiation Oncology, RIMS, Manipur, India from January 2011 to August 2019.

Result: Majority of the patients were in age group of 61-70 years (37.57%). 68.0% of the patients presented with stage IV disease. Majority of our patients belong to class III socio-economic status (56.0%).

Squamous cell type was the commonest histopathology (42.14%) followed by adenocarcinoma, small cell lung cancer (SCLC) and undifferentiated type accounting for 34.59%, 11.95% and 11.32% respectively

Out of 200 patients, 67.50% were smokers and 12.50% were passive smokers,152 patients (76.0%) had history of exposure to smoky house from combustion of solid fuels for cooking and 97 patients (48.50%) were exposed to dust.

Cough was the commonest symptom (66.50%) followed by shortness of breath (60.50%) and chest pain (48.50%). On radiological evaluation, mass lesion was the commonest finding (52.0%) followed by mass with effusion (22.5%), mass with effusion and collapse (14.5%) respectively and mass with consolidation was present in 11.0% of the study population. And right sided lung mass was more common (65.0%) compared to left (35.0%).

Out of 200 patients 76 (38.0%) presented with distant metastasis. Contra lateral lung was the commonest site of metastasis (17.0%) followed by bone (13.50%), brain (12.50%), liver (10.0%) and adrenal (1.5%).

Conclusion: Lung cancer contributes a major disease burden to women in Manipur. The present study highlighted the urgent need of population based awareness program of lung cancer in Manipur for prevention and early detection of lung cancer.

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Corresponding Author

Dr C. Lalrindiki

Post Graduate Trainee