Journal List > Tuberc Respir Dis > v.61(5) > 1001020

Lim, Ban, Oh, Kim, Son, Jeong, Kim, Kim, Lim, and Kim: Clinical Characteristics of Lung Cancer Diagnosed in Chonnam National University Hospital(CNUH) Since 2000

Abstract

Background

Lung cancer has been the leading cause of cancer death in South Korea since 2000. This study examined the clinical characteristics of lung cancer patients diagnosed in a community hospital from the year 2000 to 2005, and compared these results with previously reported statistical data.

Method

The lung cancer data in a form of an electronic medical record was downloaded from the hospital medical information system. The clinical characteristics of the 1,509 patients with lung cancer were analyzed retrospectively.

Result

The mean age of the patients was 63.7 years. 82.5% and 74.5% of the patients were men and smokers, respectively. Squamous cell carcinoma (41.6%) was the most common pathology type followed by adenocarcinoma(32.3%) and small cell carcinoma(13.9%). When 604 patients who were diagnosed from 2000 to 2003 were compared with 905 patients diagnosed from 2004 to 2005, the age of patients increased significantly (61.5 years vs. 65.1 years; p<0.001) and the proportion of adenocarcinomas was significantly higher(29.3% vs. 34.4%; p=0.046).

Conclusion

Among the major histology types of lung cancer, the incidence of adenocarcinoma has been increasing recently. The age of the lung cancer patients at diagnosis is getting older. This is despite the fact that the distributions of the initial anatomic stages have not changed significantly.

Figures and Tables

Figure 1
Number of patients downloaded from lung cancer electronic medical records
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Figure 2
Camparison of pathologic distribution with previous statistical data from Korea
*Data from Seoul National University, Reference 5
Surveillance data by Korean Academy of Tuberculosis and Respiratory Diseases, Reference 6
Data from Inha University, Reference 7
§Present Data
SQC : Squamous cell luy carcinoma
ADC : Adenocarcinoma
LCC : Large cell carcinoma
SCC : Small cell carcinoma
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Figure 3
Comparision of stage at diagnosis of NSCLC with previous statistical data from Korea
*Data from Seoul National University, Reference 5
Surveillance data by Korean Academy of Tuberculosis and Respiratory Diseases, Reference 6
Data from Inha University, Reference 7
§Present Data
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Table 1
Characteristics of patients
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*mean ± standard deviation

Table 2
Characteristics of patients according to residence
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*% of patients in each residence

Table 3
Pathologic distribution and proportions of female and patients without smoking history
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*p value 0.203

p value < 0.001 between squamous cell carcinoma and adenocarcinoma

Neuroendocrine cell tumor, thymoma and other sarcoma

Table 4
Clinical stages at diagnosis
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Table 5
Comparison of patients groups diagnosed between 2000~2003 and 2004~2005
trd-61-427-i005

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