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Postgraduate Medical Journal 2001;77:708-712; doi:10.1136/pmj.77.913.708
Copyright © 2001 The Fellowship of Postgraduate Medicine.
Postgrad Med J 2001;77:708-712 ( November )

Adenocarcinoma of the lung in Chinese patients: a revisit and some perspectives from the literature

B Lama, W K Lama, C L Lama, G C Ooib, J C M Hoa, M P Wongc, K W Tsanga

a University of Hong Kong, Queen Mary Hospital, Hong Kong SAR: University Department of Medicine, b University Department of Diagnostic Radiology, c University Department of Pathology

Correspondence to: Dr Kenneth W Tsang, University Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China kwttsang{at}hku.hk

Submitted 23 January 2001; Accepted 17 May 2001

AIM---To establish an updated clinical profile of adenocarcinoma of the lung.
DESIGN---Retrospective review of clinical charts, chest radiography, and computed tomography of consecutive patients who attended Queen Mary Hospital in Hong Kong between June 1995 and December 1997.
RESULTS---In the 115 patients studied, 13% were <40 years of age (33.3% ever smokers). Haemoptysis is more common among patients with early disease, while finger clubbing was detected more commonly among smokers and ex-smokers. Most (98.3%) patients had abnormal chest radiology including presence of mass lesion, pleural effusion, collapse/consolidation, and effusion. Patients with adenocarcinoma were significantly more likely to be younger, female, in advanced disease (stage IIIB and IV), non-smoker, and symptomatic on presentation (p<0.05) than those with squamous cell lung cancer (n=128).
CONCLUSION---The clinical profile of Chinese adenocarcinoma patients should help clinicians in the diagnosis and management of these patients.


Keywords: lung cancer; adenocarcinoma; clinical profiles


© 2001 by The Fellowship of Postgraduate Medicine

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