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Poster Presentations: Tuesday, November 2, 2010 |

Lung Cancer Registry in Iloilo City, Philippines (January 2007 to December 2017): Preliminary Report FREE TO VIEW

Fel Angelie P. Colon; Ma. Lorelie P. Sirilan, DMD; Marian C. Celis; Suset Gargalicana, DMD
Author and Funding Information

West Visayas State University Hospital, Iloilo City, Philippines



Chest. 2010;138(4_MeetingAbstracts):258A. doi:10.1378/chest.9779
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Abstract

PURPOSE: Lung cancer is the most common cause of death worldwide. Aim of study to establish a lung cancer registry for Iloilo City, Philippines.

METHODS: Included are patients diagnosed with lung cancer by histopathology/cytopathology admitted in training hospitals. Consultants and medical residents fill up the Philippine College Chest Physicians Lung Cancer Registry Form.

RESULTS: Majority of patients were males, 44 (71%)females , 18 (29%). Most were in the age 60-69, 19 (30%),70-79, 16 (26%), 50-59, 12(19%), 40-49,7 (11%) , 20-29, 2, (3%), < 20 , 1 (2%). Most resided in rural areas, 50 (81%); urban areas , 12, (19%). Majority wanted their wives, 29 (46%) and husbands , 4 (6%) to be informed of their disease. Most patients had adenocarcinoma , 33 (53%) , squamous cell , 7 (11%), small cell, 3 (5%), and large cell 1 (2%). Majority was diagnosed in stage III-B,26 (42%), stage IV, 16 (26%), stage II-A , 10 (16%), stage III-A, 5(8%;);stage II-B, 2(3%);stage I-B,1 (2%). Majority were diagnosed by ultrasound guided thoracentesis, 22 (35%), chest computed tomography scan guided biopsy ,20 (32%); fiberoptic bronchoscopy biopsy/ washing/brushing, 15 (24%), ultrasound guided biopsy, 3 (5%) and transbronchial needle aspiration biopsy, 2 (3%). Most common sites of metastasis was the bone 5 (8%), brain 2 (5%), contralateral lung 2 (3%) , liver, 1 (2%) and supraclavicular lymph nodes , 1 (2%). For treatment majority opted for supportive/diagnostic tests , 54 (87%), chemotherapy , 10 (16%);external, brachytherapy, 1, (2%) radiation, 6 (9%) and surgery 2, (3%).

CONCLUSION: The registry indicates high risk of lung cancer in Iloilo City, Philippines. Risk is higher in men in rural areas above 60 years. Majority were adenocarcinoma with metastasis to bone. Most were in stage III-B diagnosed by ultrasound guided thoracentesis and opted supportive /diagnostic tests only with no treatment.

CLINICAL IMPLICATIONS: Risk for lung cancer is significant. Greater emphasis on screening and evaluation is essential as majority present in late stage of the disease. Patients should have more access to treatment modalities.

DISCLOSURE: Fel Angelie Colon, No Financial Disclosure Information; No Product/Research Disclosure Information

12:45 PM - 2:00 PM


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