DOI: 10.36347/sjams.2017.v05i09.041

Pages: 3714-3718

The study included all cytologically proved cases as carcinoma lung admitted in Medical wards at a Medical College in southern India. Information obtained from each of these patients was entered in a proforma designed to include all the relevant information. Histological diagnosis was made by sputum cytology, pleural fluid cytology, direct FNAC from lymph node, CT guided FNAC or biopsy either from lymph node or through bronchoscopy or USG guided fine needle aspiration cytology. In the 81 cases of lung cancer, the mean age at diagnosis was 65.25 years with a male to female ratio of 8:1. Cough was the most common presenting symptoms (72%) and the most common clinical signs was clubbing (62%). Sputum cytology showed malignant cells in one case only. The most common radiological presentation was mass lesion (63%) and upper zone mass was seen in 41.97%. Adenocarcinoma (73.5%) and large cell carcinoma (100%) were seen peripherally and small cell carcinoma (85.7%) and squamous cell carcinoma (64.2%) were seen centrally. Evidence of metastases was present in 48.14% cases at presentation. Histopathological study confirmed adenocarcinoma in34 (42%) squamous carcinoma in 14(17%), small cell carcinoma in 14(17%), large cell carcinoma in 6(7%) and undifferentiated carcinoma in 13 (16%) cases.The clinicopathological profile of lung cancer has changed over the last few years. The global trend of rise in adenocarcinoma is seen in the Indian subcontinent.