CLINICORADIOLOGICAL PROFILE AND EVALUATION OF THE PATIENTS OF LUNG MALIGNANCY

Abstract

Background: Lung cancer is the major cause of cancer related mortality all over the world.
Clinicoradiological profile of the patients are different and warrants further evaluation
accordingly. This study was planned to study the clinicoradiological profile of the patients of
lung malignancy and to evaluate them further.
Methods: This is an observational study, done in a medical college of Ujjain [M.P] over a period
one year. All the patients with clinical signs and symptoms or radiological suspicious of lung
malignancy were included in the study and further evaluation including bronchoscopy/ biopsy
were done in patients as required after explaining the risks.
Results: Clinical examination most common clinical findings are suggestive of mass in [65.5%]
of cases, although radiologically all patients have mass followed by COPD [Emphysema] in
46.3% of cases as most of them were smokers Among Paraneoplastic syndromes clubbing is the
most common present in 46.6% of patients followed by leukocytosis. CT/USG guided biopsy
were done in 58 patients of suspected lung cancer. Out of which malignancy was confirmed in
55 patients with the help of transthoracic biopsy. Squamous cell carcinoma was most common
type of malignancy encountered. Out of 22 patients in which bronchoscopy were performed, 10
were diagnosed as squamous cell carcinoma, 7 were diagnosed adenocarcinoma, 1 was
diagnosed small cell carcinoma, in 2 patients study was suggestive of malignancy and in 2
patients we found normal study on bronchoscopy.
Conclusion: This study suggests thorough clinical and radiological evaluation especially CT
Thorax in most of the cases is needed for proper evaluation of suspected Lung Malignancy
following which bronchoscopy or biopsy is needed for histopathological diagnosis and further
treatment. Transthoracic biopsy yields good results for peripheral lung lesion while
bronchoscopy is good for central lung lesions.