Surgical experience of primary XXXX of lung: A case series.

@entity5 @entity1 @entity260
INTRODUCTION: Primary @entity5 of lung (PSGTTL) are rare intra-thoracic malignant @entity5 . Their description in literature is largely limited to a few case series/case reports. We herewith present our surgical experience of and review its clinical presentation, management options and survival outcomes. METHODS: This retrospective analysis of prospectively maintained computerized data-base of @entity1 was conducted in a tertiary teaching oncology centre in North India. The case records of all the @entity1 who underwent surgery for PSGTTL were reviewed. Details concerning the clinical presentation, preoperative therapy, operative procedure, histopathological examination, @entity260 and outcome were retrieved from the case records. RESULTS: There were seven @entity1 who underwent surgery for PSGTTL during the period from January 2012 to December 2014. Hemoptysis (n = 6, 85.7%) and dyspnoea (n = 6, 85.7%) were common presenting clinical features. Fiber-optic bronchoscopy revealed endobronchial growth in all @entity1 - five @entity1 had growth in left main bronchus while one each had growth in right main bronchus and right intermediate bronchus. Biopsy confirmed adenoid cystic carcinoma in 4 (57.1%) and muco-epidermoid carcinoma in 3 (42.9%) @entity1 . All but one had R'0' resection - pneumonectomy in five and bilobectomy in one @entity1 ; one @entity1 was found to be unresectable in view of dense adhesions between lung and heart. Median pathological tumor size was 3.5 cm; none of the @entity1 was found to have metastatic spread to lymph nodes. Overall, six @entity1 are alive after a median follow up of 5 months (range 1-30). CONCLUSION: Radical surgery to achieve R'0' resection is the main stay of treatment of PSGTTL to achieve prolonged survival.
