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[Analysis of acute exacerbation from focal usual interstitial pneumonia following to lung cancer resection].
- Source :
-
Kyobu geka. The Japanese journal of thoracic surgery [Kyobu Geka] 2005 Jan; Vol. 58 (1), pp. 22-5. - Publication Year :
- 2005
-
Abstract
- To evaluate the susceptibility of patient with focal interstitial pneumonia (IP) to postoperative acute exacerbation, and to determine whether measuring serum level of several markers is useful for early detection of postoperative IP or not, we analyzed a total of 753 patients with primary lung cancer underwent thoracotomy. Twelve (1.6%) had postoperative IP. Eight of the 12 died due to IP and 9 of the 12 had focal IP findings on chest computed tomography (CT). Chest CT of 477 patients were reviewed retrospectively, and 51 (10.7%) had IP findings (diffuse 2.1%, focal 8.6%). Postoperative IP occurred in 17.6% of patients with IP findings, but only in 0.7% without such findings (p<0.01). Values of serum KL-6 decreased after lung resection. There were no changes in the value of serum TNF-alpha, IL-1beta, thrombomodulin and sICAM-1 after surgery. We conclude that focal IP is a risk factor of postoperative IP, and that it is not useful to measure serum markers for early detection of postoperative IP.
- Subjects :
- Aged
Humans
Intercellular Adhesion Molecule-1 blood
Interleukin-1 blood
Lung Diseases, Interstitial blood
Lung Diseases, Interstitial diagnosis
Male
Middle Aged
Pneumonectomy
Retrospective Studies
Risk Factors
Thrombomodulin blood
Tumor Necrosis Factor-alpha analysis
Lung Diseases, Interstitial etiology
Lung Neoplasms surgery
Postoperative Complications
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0021-5252
- Volume :
- 58
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Kyobu geka. The Japanese journal of thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 15678961