Đặc điểm di căn hạch trên CT scan đối chiếu với tổn thƣơng trong mổ và mô bệnh học của ung thƣ phổi không tế bào nhỏ đƣợc điều trị bằng phẫu thuật tại bệnh viện Quân y 103

Abstract

Within 26 months (01/2014 – 03/2016), 29 patients who were diagnosed with the lung cancer disease, and underwent lobectomy surgery at cardiothoracic department of 103 Military hospital. The mean age was 58,62; 93.10% was male; lobectomy surgery was performed on 28 patients (95,55%), bilobectomy surgery was implemented on 1 patient (3,45%). Histopathological analysis: adenocarcinoma (62,07%), squamous cell carcinoma (24,14%), undifferentiated pulmonary carcinoma (10,34%), clear cell carcinoma (3,45 %). Pre-operative CT Scan diagnosis identified the lymph node metastasis with the low percentage of 3,45%, while 100% being determined during the operation. In which lymph node groups 10, 4, 9 make up 72,42% , 17,24%, 10,34% respectively. The histopathological analysis identified lymph node metastasis in 8 cases (27,59%). These cases were correlated with PET-CT 75%, lymph node metastasis in group 4 make up the highest percentage of 50%.