Two groups have been selected from 1000 patients who had lobectomy or pneumonectomy for bronchial carcinoma. The first group was of 26 patients with tumour affecting the mucosa of the resected bronchial margin reported histologically at the time of surgery. Twelve of these were given postoperative radiotherapy but with no apparent benefit, either in the incidence of recurrence of tumour at the ...

BACKGROUND AND PURPOSE External beam radiation therapy (EBRT) is occasionally used in the treatment of bronchial stump recurrences after complete surgical resection in patients with non-small-cell lung cancer (NSCLC), but no prospective study exists, so far. The objective of this review is to determine effectiveness of high-dose EBRT in this disease. METHODS A systematic review was undertaken...

STUDY OBJECTIVES Microscopic residual disease in the bronchial resection margins after surgical resection of lung cancer is rare, and its clinical significance remains unsettled. We studied the natural history of patients with carcinoma in situ (CIS) at their bronchial resection margins to focus on the issue of stump recurrence. METHODS Eleven individuals who had undergone radical surgery for...

Bronchopleural fi stula (BPF) remains a rare, but feared complication following pneumonectomy and occurs with an incidence of 3% to 12%.1–8) It can lead to life-threatening conditions, such as aspiration of infectious fl uid from the pleural cavity, pneumonia of the remaining lung, and postpneumonectomy empyema. Many publications have explored different surgical techniques to reduce the inciden...

Case I A 62 year old man was admitted to the Central County Hospital with increasing cough, having had haemoptysis for two months. Investigations, including chest radiography, tomography, and bronchoscopy, showed a tumour of the left hilum that was almost occluding the left main bronchus, 3-4 cm distal to the carina. Biopsy confirmed a squamous cell carcinoma. No metastases were identified so a...