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首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Population characterization, histological evaluation, and timeliness of care of surgical nonsmall cell lung cancer patients in a military academic medical center.
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Population characterization, histological evaluation, and timeliness of care of surgical nonsmall cell lung cancer patients in a military academic medical center.

机译：军事学术医学中心的外科非小细胞肺癌患者的人群特征，组织学评估和护理及时性。

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摘要

Lung cancer remains a major medical impediment in which early diagnosis and timely treatment are key factors in its management. This study evaluated nonsmall cell lung cancer (NSCLC) patients in a large military medical center to determine the timeliness to diagnosis and curative surgery in comparison with published guidelines. A retrospective record review of tumor registry NSCLC surgery cases at Navy Medical Center San Diego (NMCSD) from 2004 to 2009 was conducted. Of the 84 patients, 49% were women, the median age was 63, 58% were Caucasian, and 71% represented ex- or active smokers. A significant number of women were Asian (30%) and nonsmokers (77%). The predominant histology was adenocarcinoma (86%) with positron emission tomography-computed tomography (PET-CT) nonavid (57%). Median time for pulmonologist evaluation was 8 days, median time for PET-CT was 13 days, median time for cardiothoracic surgery evaluation to thoracotomy was 25 days, and median time from pulmonologist evaluation to thoractomy was 59 days. Conclusions: Except for the pulmonary specialist referral time (8 vs. 7 days), timeliness of diagnosis and curative surgery for NSCLC patients at NMCSD was within international guideline recommendations. Additional proposals have been made to improve the evaluation and treatment of lung cancer patients.
机译：肺癌仍然是主要的医学障碍，其中早期诊断和及时治疗是其管理的关键因素。这项研究对大型军事医学中心的非小细胞肺癌（NSCLC）患者进行了评估，以确定与公布的指南相比诊断和根治性手术的及时性。回顾性记录回顾了2004年至2009年在圣地亚哥海军医学中心（NMCSD）进行的肿瘤登记NSCLC手术病例。在这84名患者中，女性占49％，中位年龄为63岁，白种人为58％，有71％的吸烟者为吸烟者或积极吸烟者。亚洲（30％）和非吸烟者（77％）中，女性占很大比例。主要的组织学是腺癌（86％），正电子发射断层扫描计算机断层扫描（PET-CT）为非肿瘤（57％）。肺科医师评估的中位时间为8天，PET-CT评估的中位时间为13天，心胸外科评估至开胸手术的中位时间为25天，肺部医师评估到开胸手术的中位时间为59天。结论：除了肺专科医生转诊时间（8天比7天）外，在NMCSD进行的NSCLC患者的诊断和根治性手术的及时性均在国际指南的建议之内。还提出了其他建议以改善对肺癌患者的评估和治疗。

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