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2020| November-December | Volume 37 | Issue 6
Online since
October 30, 2020
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EDITORIAL
Tuberculosis, COVID-19, and the End Tuberculosis strategy in India
Digambar Behera
November-December 2020, 37(6):467-472
DOI
:10.4103/lungindia.lungindia_544_20
PMID
:33154206
[FULL TEXT]
[PDF]
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2,469
419
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ORIGINAL ARTICLES
Sarcopenia in patients with chronic obstructive pulmonary disease: A study of prevalence and associated factors in Western Greek population
Maria Tsekoura, Elias Tsepis, Evdokia Billis, John Gliatis
November-December 2020, 37(6):479-484
DOI
:10.4103/lungindia.lungindia_143_20
PMID
:33154208
Background:
Chronic obstructive pulmonary disease (COPD) is associated with a progressive loss of muscle mass and function and a systemic inflammatory process that can cause sarcopenia.
Objective:
The objective of this study is to estimate the prevalence rate of sarcopenia in COPD patients and to determine the factors associated with sarcopenic patients living in Western Greece.
Methods:
European Working Group on Sarcopenia in Older People criteria were applied to 69 outpatients with stable COPD. Body composition, exercise capacity, functional performance, physical activity, and health status were also assessed. COPD disease severity (COPD stage) was evaluated with the Global Initiative for chronic obstructive lung disease. The study protocol was approved by the Ethical Committee of the Technological Educational Institute of Western Greece.
Results:
The sample comprised 69 patients (59 women and 10 men), with a mean age of 71.33 ± 7.48 years. The prevalence of sarcopenia was 24.6% (
n
= 17). A high percentage (82.6%;
n
= 57) of the 69 Greek participants did not perform any regular exercise. The findings of this study demonstrated that sarcopenia was positively associated with COPD, age, body mass index, skeletal muscle mass, hand grip strength, and 4 m test.
Conclusions:
In conclusion, there is a 24.6% prevalence of sarcopenia in patients with COPD. Further research with larger samples would be indicated to clarify the precise association of specific characteristics of patients with sarcopenia and COPD.
[ABSTRACT]
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1,533
219
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Nontuberculous mycobacteria: A report of eighteen cases from a tertiary care center in India
Nitin Gupta, Ankit Mittal, Vettakkara Kandy Muhammed Niyas, Sayantan Banerjee, Yogiraj Ray, Parul Kodan, Sundeep Malla, Wasim Khot, Farhan Fazal, Binit Kumar Singh, Pankaj Jorwal, Neeraj Nischal, Manish Soneja, Naveet Wig
November-December 2020, 37(6):495-500
DOI
:10.4103/lungindia.lungindia_365_19
PMID
:33154211
Context:
Nontuberculous mycobacteria (NTM) are ubiquitous mycobacteria present in environment and generally affect patients with either structural lung disease or immunosuppression and commonly involve lungs, lymph node, or skin.
Materials and Methods:
Between July 2016 and February 2019, 18 cases of NTM were diagnosed and their relevant clinical, diagnostic, and treatment details were recorded after taking informed consent.
Results:
We report 18 cases of NTM involving lungs (
n
= 11), skin and soft tissue (
n
= 3), joint (
n
= 2), genitourinary (
n
= 1), and central nervous system (
n
= 1). History of immunosuppression was present in two patients, whereas history of some form of intervention was seen in six patients.
Mycobacterium fortuitum
group (
n
= 5) was the most commonly isolated organism, followed by
Mycobacterium
avium
complex (
n
= 4),
Mycobacterium
abscessus
(
n
= 3),
Mycobacterium
kansasii
(
n
= 2), and
Mycobacterium
chelonae
(
n
= 1). In two patients,
M.
chelonae
and
M.
abscessus
were isolated in succession. Of these 18 patients, clinical response was present in 15 of the patients. Diagnosis and treatment of NTM in resource limited settings is extremely challenging.
Conclusion:
Most of the patients with NTM are misdiagnosed and are treated as tuberculosis in India, sometimes with a multidrug resistance regimen, which results in significant morbidity and mortality. We present these cases to shed some light on the epidemiology of NTM in this part of India.
[ABSTRACT]
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Risk stratification of acute respiratory distress syndrome using a PaO2: Fio2 threshold of 150 mmHg: A retrospective analysis from an Indian intensive care unit
Inderpaul Singh Sehgal, Ritesh Agarwal, Sahajal Dhooria, Kuruswamy Thurai Prasad, Valliappan Muthu, Ashutosh Nath Aggarwal
November-December 2020, 37(6):473-478
DOI
:10.4103/lungindia.lungindia_146_20
PMID
:33154207
Background
: Whether a Pa
O2
: Fi
O2
ratio of 150 mmHg could be used to classify patients with acute respiratory distress syndrome (ARDS) as severe or non-severe is unknown. Herein, we study whether Pa
O2
: Fi
O2
<150 mmHg could be used as a risk stratification and prediction tool for mortality in patients with ARDS.
Methods:
Patients with ARDS (Pa
O2
: Fi
O2
ratio ≤300 mmHg) were categorized as nonsevere ARDS (150≤Pa
O2
: Fi
O2
ratio ≤300 mmHg) and severe ARDS (Pa
O2
: Fi
O2
ratio <150 mmHg). We compared the physiological characteristics, ventilatory parameters, and mortality between the two groups. Further, we subcategorized those with severe ARDS as very severe (Pa
O2
: Fi
O2
ratio ≤100 mmHg) or severe ARDS (100
O2: Fi
O2
ratio <150 mmHg). We also compared the performance of this cut off value with the Berlin criteria using the receiver operating characteristic curve.
Results:
Four hundred and sixty (256, non-severe ARDS; 204, severe ARDS) patients (mean standard deviation age, 40 (17) years, 55% males) with ARDS were included. Patients with severe ARDS had significantly lower baseline pH and higher Pa
CO2
. Patients with severe ARDS also had higher plateau pressure, peak airway pressure, applied positive end-expiratory positive pressure. The odds ratio (95% confidence interval [CI]) of mortality in those with severe ARDS was 1.6 (95% CI, 1.1–2.4). Although the AUC for both the revised and Berlin models was low, on a multivariate logistic regression analysis, after adjusting for age, gender, sequential organ failure assessment score, driving pressure, and mechanical power, Pa
O2
: Fi
O2
ratio of 150 mmHg remained an independent risk for mortality.
Conclusions:
The Pa
O2
: Fi
O2
ratio threshold of 150 mmHg may be used to identify severe ARDS. However, used alone a Pa
O2
: Fi
O2
threshold of 150 mmHg has poor sensitivity in predicting mortality. Due to the small sample, the results of our study should be confirmed in a larger multicentric study.
[ABSTRACT]
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[PubMed]
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261
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REVIEW ARTICLE
Bronchoscopic interventions for emphysema: Current status
Ran Wang, Suman Paul, Vi Truong, Mohammed Munavvar
November-December 2020, 37(6):518-529
DOI
:10.4103/lungindia.lungindia_8_20
PMID
:33154215
Chronic obstructive pulmonary disease is a prevalent and progressive disease. The recently developed bronchoscopic lung volume reduction (BLVR) techniques offer personalized therapeutic options in subgroups of patients with severe emphysema. Endobronchial and intrabronchial valves (EBV/IBV) achieve lung volume reduction by lobar atelectasis. The lung volume reduction coils (LVRCs) and bronchoscopic thermal vapor ablation (BTVA) induce tissue compression, either mechanically or through inflammatory processes. While the effects of EBV/IBV are reversible by removing the implants, the effects of LVRC are partially reversible and that of BTVA is irreversible. The presence of interlobar collateral ventilation (CV) impacts on EBV/IBV treatment outcome due to its mechanism of action. Therefore, using radiological and endoscopic techniques to assess CV has a vital importance. Current evidence of BLVR demonstrates acceptable safety and short-term clinical efficacy. However, head-to-head trials are lacking, and further research is needed to establish long-term clinical benefit, durability, and cost-effectiveness of these techniques.
[ABSTRACT]
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1,032
221
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RESEARCH LETTERS
Cystic airspaces associated with COVID-19 pneumonia
Rosana Souza Rodrigues, Miriam Menna Barreto, Gabriel Madeira Werberich, Edson Marchiori
November-December 2020, 37(6):551-553
DOI
:10.4103/lungindia.lungindia_551_20
PMID
:33154225
[FULL TEXT]
[PDF]
[Mobile Full text]
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[PubMed]
1,114
116
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ORIGINAL ARTICLES
Technical efficiency, short-term clinical results and safety of a large-bore aspiration catheter in acute pulmonary embolism – A retrospective case study
Junaid T Yasin, Ryan Davis, Arash Saemi, Hariharan Regunath, Armin Krvavac, Sachin S Saboo, Ambarish P Bhat
November-December 2020, 37(6):485-490
DOI
:10.4103/lungindia.lungindia_115_20
PMID
:33154209
Background:
Mechanical thrombectomy plays an important role in the management of acute pulmonary embolism (PE), either when rapid clot dissolution is needed or when thrombolytics are contraindicated. We describe our clinical and technical experience with the FlowTriever mechanical thrombectomy device in patients with acute PE.
Materials and Methods:
A retrospective analysis was performed on all cases of acute PE treated with the FlowTriever device at a single tertiary care hospital system during the trial period (November 2019–January 2020). Technical and clinical results, including complications, are reported.
Results:
Technical success was achieved in all eight successive cases (seven cases of submassive and 1 case of massive PE). Mean pulmonary artery pressure (MPAP) improved significantly after mechanical thrombectomy (27.8 ± 6.4 mmHg preprocedure; 20.5 ± 3.8 mmHg postprocedure; 7.3 ± 5.2 mmHg decrease after the procedure;
P
= 0.016). Hemoglobin levels did not change significantly after mechanical thrombectomy (11.8 g/dl ± 3.4 preprocedure; 9.9 g/dl ± 2.1 postprocedure;
P
= 0.20). Reduction in MPAP was achieved in 88% of cases (7/8) and hypoxia improved in all the nonintubated patients (7/7). Mortality observed in one patient with a massive central PE, was not related to the procedure. No mortality or procedural complications were observed in patients with submassive PE.
Conclusions:
The positive initial clinical experience and safety profile using the FlowTriever in the treatment of acute PE suggests, it has the potential to fill the unmet needs of a good mechanical thrombectomy device to treat massive and submassive high-risk PE especially when thrombolytics are contraindicated.
[ABSTRACT]
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815
127
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Primary mucinous carcinomas of the lung: Clinical characteristics and treatment outcomes
LK Rajeev, Antony George Francis Thottian, Usha Amirtham, D Lokanatha, Linu Abraham Jacob, M C Suresh Babu, KN Lokesh, AH Rudresha, Smitha Saldanha, Syed Adil Hassan
November-December 2020, 37(6):491-494
DOI
:10.4103/lungindia.lungindia_52_20
PMID
:33154210
Introduction:
Invasive mucinous adenocarcinoma (IMA) of the lung is a distinct histologic variant of adenocarcinomas comprising about 2%–10% of lung adenocarcinomas. A large proportion of IMAs carry KRAS mutations and only rarely epidermal growth factor receptor (EGFR) mutations or ALK/ROS translocations; thus, most cases are not amenable for targeted therapy at present. This study was conducted to elicit the unique clinicopathological characteristics of IMA.
Materials and Methods:
Medical records of patients diagnosed with IMA by needle biopsy at Kidwai Cancer Institute, Bangalore, from 2013 to 2018, were retrieved and reviewed. Statistical analysis was performed using SPSS version 23.0 (IBM Corp., Armonk, NY, USA).
Results:
Four hundred and ninety cases of needle biopsy of the lung were diagonosed at our institute between January 2013 and December 2018. Nine cases (1.8%) were diagnosed as IMA. The median age of presentation was 59 years. Six (66.7%) were current smokers with pack-year > 20. Three (33.3%) of the cases were initially misdiagnosed as pneumonia in view of computed tomography findings. The lung was the most common site of metastasis (77.8%). Serum Carcinoembryonic Antigen (CEA) was elevated in six cases (66.7%). None of the cases had any driver mutations in EGFR gene or ALK and ROS1 translocations. All cases were treated with pemetrexed–carboplatin doublet followed by pemetrexed maintenance till progression. The median progression-free survival (PFS) was 15 months (range: 5–18 months). Docetaxel was given as the second-line chemotherapy in all progressed patients. Best response noted was stable disease, seen in 4 (57.1%) cases. The median PFS for docetaxel was 6 months (range: 3–8 months). The median overall survival was 22 months (range: 9–27 months). Patients with initially raised CEA at progression had a serial rise in serum CEA.
Conclusions:
IMA is rarely diagnosed on needle biopsies due to insufficient tissue. They mimic pneumonia on imaging, thus delaying diagnosis. EGFR mutations, ALK, and ROS1 translocations are usually negative making them ineligible for tyrosine kinase inhibitors. Response to chemotherapy is modest.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
780
153
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RESEARCH LETTERS
Falsely low values of oxygen saturation measured by pulse oximetry in patients with coronavirus disease 2019
Celal Satici, Mustafa Asim Demirkol, Mustafa Alkan, Sinem Nihal Esatoglu
November-December 2020, 37(6):553-554
DOI
:10.4103/lungindia.lungindia_392_20
PMID
:33154226
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
715
122
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ORIGINAL ARTICLES
Use of thopaz in patients of empyema thoracis undergoing decortication
Mohd Shahnawaz Alam, Mohd Azam Haseen, Mohd Aslam, Mohd Hanif Beg
November-December 2020, 37(6):511-517
DOI
:10.4103/lungindia.lungindia_344_19
PMID
:33154214
Introduction:
The management of empyema thoracis has evolved over the years. After all lung surgeries chest drain is required, however they suffer from inter observer variability and impair mobility of the patient. However, the newer digital thoracic drain system are portable and have alarms for various situations, furthermore they eliminate inter-observer variability. One such device is Thopaz™ (Medela inc, Switzerland). We wanted to compare efficacy of Thopaz™ with our conventional intercostal chest tube drain in patients undergoing decortications for empyema thoracis.
Materials and Methods:
One hundred patients were enrolled in study and were randomized into conventional and thopaz group with 50 patients in each group with help of opaque envelopes.
Results:
Both the groups were comparable in demographic parameters. Majority of the patients in our study were children and young adults. Majority of empyema thoracis involved right side with nontubercular empyema thoracis being the most common cause of decorticartion. Patients managed with Thopaz had a significantly shorter air leak duration, shorter duration of postdecortication chest tube placement and shorter postoperative hospital stay. All postoperative complications were less in Thopaz group.
Conclusions:
Patients with empyema thoracis undergoing open decortications when managed with digital chest drainage system (Thopaz) experienced faster reduction in air leak, a shorter duration of chest tube placement and in hospital stay. Thopaz usage is also associated with reduction in rate of postoperative complications. We recommend that this digital chest tube drainage system is a very useful tool in armamentarium of thoracic surgeon after lung surgeries.
[ABSTRACT]
[FULL TEXT]
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[PubMed]
690
115
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RESEARCH LETTERS
Should awake proning be used before continuous positive airway pressure therapy for respiratory support in COVID pneumonia
Milind Sovani, Arun Khanna, Dipansu Gosh, Ben Messer, Simon Wharton
November-December 2020, 37(6):558-559
DOI
:10.4103/lungindia.lungindia_516_20
PMID
:33154229
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
626
110
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CASE REPORTS
Vaping associated lung injury (EVALI) as an organizing pneumonia pattern- A case report
Bhavin Jankharia, Sujeet Rajan, Bhoomi Angirish
November-December 2020, 37(6):533-535
DOI
:10.4103/lungindia.lungindia_69_20
PMID
:33154217
Electronic cigarettes use or vaping is popular but has not been proven to be an innocuous substitute for traditional smoking. Several patterns of vaping-associated lung injuries have been reported. We report a case of a 43-year-old female patient, who presented with productive cough and an organizing pneumonia pattern on computed tomography (CT) scan. Recognizing the various CT scan patterns of vaping-associated lung injury is important to make a diagnosis because the cessation of vaping is an important step in the treatment.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
599
110
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ORIGINAL ARTICLES
The diagnostic role of microRNA 21 in patients with nonsmall cell lung cancer: An exploratory study
Shreyash Rai, Pankaj Kumar Garg, Shuchi Bhatt, Thammineni Krishna Latha, Amit Kumar Verma, Basu Dev Banerjee, Mahendra Pal Singh
November-December 2020, 37(6):501-505
DOI
:10.4103/lungindia.lungindia_100_20
PMID
:33154212
Background:
Although histopathological examination of the biopsy specimen is the gold standard for the diagnosis of non small cell lung cancer (NSCLC), a blood-based noninvasive test (liquid biopsy) may prove to be helpful in patients with repeatedly negative biopsy or for response assessment following neoadjuvant therapy. The present study was conducted to explore the diagnostic value of circulating serum microRNA (miRNA) 21 in patients with NSCLC.
Methods:
This case–control analytical study was carried out in a tertiary care teaching hospital in Northern India. The study consisted of 30 cases of biopsy-proven NSCLC and 30 controls. Serum miRNA-21 expression levels were estimated by extracting total RNA from the serum sample, reverse transcribing it to cDNA and quantified in relation to U6 reference miRNA.
Results:
A total of 30 patients with NSCLC and 30 controls were included in the study. The subjects were comparable in two groups with reference to age, gender, and smoking. Pathological types were adenocarcinoma in 19 (63.3%) and squamous cell carcinoma in 11 (36.6%) patients. Majority of the patients had advanced disease-AJCC stage III in 15 patients and AJCC Stage IV in 13 patients; two patients had stage II disease. There was a significant upregulation of serum miRNA 21 gene expression in the patients with lung cancer compared to controls (median fold change, 3.39 vs. −2.81,
P
= 0.00). A fourfold change in serum miRNA 21 is significantly associated with the diagnosis of NSCLC with a high specificity of 97% and area under curve of 0.84 (95% confidence interval of 0.74–0.94).
Conclusion:
Estimation of serum miRNA 21 expression has potential to be used as liquid biopsy for the diagnosis of NSCLC. Further studies with large sample sizes are warranted to confirm the diagnostic accuracy of serum miRNA 21 expression.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
603
105
-
CASE REPORTS
Anesthetic considerations for bronchial thermoplasty in patients of severe asthma: A case series
Rohini Dattatri, Rakesh Garg, Karan Madan, Vijay Hadda, Anant Mohan
November-December 2020, 37(6):536-539
DOI
:10.4103/lungindia.lungindia_434_19
PMID
:33154218
The role of anesthesiologist in nonoperating room procedures including pulmonary interventions is expanding. Bronchial thermoplasty (BT) is a minimally invasive bronchoscopic intervention for patients with severe asthma refractory to conventional pharmacotherapy. It involves the application of controlled radiofrequency thermal energy to large- and medium-sized airways. We report our experience for perioperative anesthetic management of patients scheduled for BT. Three patients with severe asthma were planned for BT under general anesthesia. After standard monitoring and intravenous cannula insertion, anesthesia was induced with propofol, fentanyl, and rocuronium after preoxygenation and maintained with propofol target-controlled infusion. The ventilation was controlled mechanically with I-gel used for airway management. The oxygen concentration was titrated to 40% or less at the time of thermal activation delivery. The procedure was performed using a thin bronchoscope inserted through the I-gel working port of the catheter mount. The procedures lasted for around 1 h. After completion of the procedure, the residual neuromuscular blockade was reversed, and I-gel was removed. BT requires three separate procedure sessions performed 2–3 weeks apart, and each session sequentially targets right lower lobe, left lower lobe, and bilateral upper lobes. The challenge involved in BT is due to the airway sharing between anesthesiologists and pulmonologists and anesthesia in a nonoperating room setting in patient with uncontrolled severe asthma. A meticulous preoperative evaluation, perioperative anesthetic plan, and periprocedural monitoring can reduce the complications.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
570
125
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COMMENTARY
Pulmonary sarcomatoid carcinoma: Future prospects of adjuvant immunotherapy in advanced management
Anand Agrawal
November-December 2020, 37(6):540-541
DOI
:10.4103/lungindia.lungindia_399_20
PMID
:33154219
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
543
58
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PICTORIAL QUIZ
A 58-year-old woman with recurrent pneumonias and a pulmonary abscess
Priyanka S Makkar, Vishisht Mehta, Karishma Bhatia, Zachary DePew
November-December 2020, 37(6):542-543
DOI
:10.4103/lungindia.lungindia_73_20
PMID
:33154220
A 58-year-old female with a history of recurrent pneumonia was evaluated for fevers, right lower back pain, and hematuria. A noncontrast abdominal computed tomography (CT) scan showed air and fluid-filled area in the right lower lobe for which a contrast-enhanced CT chest was performed. The CT of the chest revealed the cystic mass was supplied by an anomalous artery from the descending aorta. The patient was then diagnosed with a superinfected bronchopulmonary sequestration which was treated with surgical resection.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
472
100
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RESEARCH LETTERS
Overwhelming research during COVID-19
Christiaan Yu, Chuan Tai Foo
November-December 2020, 37(6):557-557
DOI
:10.4103/lungindia.lungindia_586_20
PMID
:33154228
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
493
70
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ORIGINAL ARTICLES
Prognostic factors for sarcomatoid carcinomas of lung: A single-centre experience
Muhammet Sayan, Aynur Bas, Elgun Valiyev, Ali Celik, Ismail Cuneyt Kurul, Olgun Kadir Aribas, Abdullah Irfan Tastepe
November-December 2020, 37(6):506-510
DOI
:10.4103/lungindia.lungindia_525_19
PMID
:33154213
Background:
Although lung sarcomatoid carcinomas (LSCa) arised from the epithelial tissue, they have very distinctive features than other non-small cell lung carcinomas in terms of histopathology and survival. It constitutes 0.1%–0.4% of all lung cancers. The aim of our study is to evaluate the survival analysis of LSCa in a single thoracic surgery clinic and to determine the prognostic factors.
Materials and Methods:
It was a retrospective cohort study. After the approval of the local ethics committee, a total of 34 patients who were operated in our department between January 2010 and December 2018, whose pathologies were reported as sarcomatoid carcinoma was included in the study. The patients were analyzed by age, gender, presence of necrosis in the histopathological examination, tumor stage, tumor diameter, and tumor location.
Results:
There were 28 males and 6 females. The median age was 60 years (range: 36–80 years). The median survival was 42 months (32.6–52.2 months), and the 5-year overall survival was 33.6%. Significantly negative prognostic factors were tumor diameter and tumor stage (
P
= 0.003 and 0.001, respectively). Median disease-free interval (DFI) was 38 months (27.3–49.1 months), and 5-year DFI was 32.6%.
Conclusion:
LSCa are highly heterogeneous epithelial malignancies, and it has worse survival than other epithelial cancers. Relatively, satisfactory results can be obtained in these tumors with surgical treatment.
[ABSTRACT]
[FULL TEXT]
[PDF]
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[EPub]
[PubMed]
451
73
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RESEARCH LETTERS
A rare case of secondary pulmonary alveolar proteinosis with adenocarcinoma of lung with retroviral disease
Aditi Dushyant Punwani, Sonal Prabhakar Karpe, Amita Umesh Athavale, Prabodh D Garg, Mahesh R Jansari
November-December 2020, 37(6):550-551
DOI
:10.4103/lungindia.lungindia_142_20
PMID
:33154224
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
384
67
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CASE LETTERS
Nasal route for endoscopic ultrasound-guided fine-needle aspiration using echobronchoscope: The last resort
Saurabh Mittal, Karan Madan, Anant Mohan, Vijay Hadda
November-December 2020, 37(6):544-545
DOI
:10.4103/lungindia.lungindia_5_20
PMID
:33154221
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
376
65
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OBITUARY
Obituary of Dr. Sudhakar Ramchandra Kamat
Shirish P Shah
November-December 2020, 37(6):560-561
DOI
:10.4103/lungindia.lungindia_809_20
PMID
:33154230
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
382
59
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CASE LETTERS
An unusual case of spontaneous pneumomediastinum secondary to tracheal tear in a trumpeter
Vikas Marwah, C D S Katoch, Robin Choudhary, Gaurav Bhati
November-December 2020, 37(6):547-549
DOI
:10.4103/lungindia.lungindia_2_20
PMID
:33154223
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
390
49
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CASE REPORTS
Successful video-assisted thoracoscopic management of the right middle lobe torsion: A rare complication of right upper lobectomy – A report of two cases
Mohan Venkatesh Pulle, Belal Bin Asaf, Harsh Vardhan Puri, Arvind Kumar
November-December 2020, 37(6):530-532
DOI
:10.4103/lungindia.lungindia_254_19
PMID
:33154216
Middle lobe torsion is an uncommon complication after right upper lobectomy. Clinical features are non-specific. CECT chest and diagnostic bronchoscopy are the essential investigations for the diagnosis. The treatment of choice is urgent re-exploration with either lobectomy or de-rotation with pneumopexy through thoracotomy or video assisted thoracoscopic approach based on the viability of lobe. Strong clinical suspiscion and early surgical intervention are the key points for success. This report highlights the role of video assisted thoracoscopic approach in the management of this rare complication.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
367
62
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CASE LETTERS
A case of hypereosinophilic syndrome with colonic obstruction: An unusual complication
Vikas Marwah, Ashok Rajput, N Thirumoorthi, Sanjeevan Sharma, Puneet Saxena
November-December 2020, 37(6):545-547
DOI
:10.4103/lungindia.lungindia_121_20
PMID
:33154222
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
351
60
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RESEARCH LETTERS
Unexpected complication of the transthoracic fine-needle aspiration biopsy: Pneumoperitoneum
Güntug Batihan, Seyda Örs Kaya
November-December 2020, 37(6):555-556
DOI
:10.4103/lungindia.lungindia_594_20
PMID
:33154227
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
302
46
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