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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Clinical Characteristics and Predictors of Mortality in Patients with Combined Pulmonary Fibrosis and Emphysema Syndrome and Lung Cancer

http://hdl.handle.net/10091/00021608
http://hdl.handle.net/10091/00021608
fae2e102-9d05-49e1-bdb9-9440b9f15881
名前 / ファイル ライセンス アクション
15K01281_07.pdf 15K01281_07.pdf (536.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-09-09
タイトル
タイトル Clinical Characteristics and Predictors of Mortality in Patients with Combined Pulmonary Fibrosis and Emphysema Syndrome and Lung Cancer
言語
言語 eng
DOI
関連識別子 https://doi.org/10.4172/2161-105X.1000263
関連名称 10.4172/2161-105X.1000263
キーワード
主題 CPFE, Emphysema, Pulmonary fibrosis, Lung cancer, KL-6
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Kitaguchi, Yoshiaki

× Kitaguchi, Yoshiaki

en Kitaguchi, Yoshiaki

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Fujimoto, Keisaku

× Fujimoto, Keisaku

en Fujimoto, Keisaku

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Hotta, Junichi

× Hotta, Junichi

en Hotta, Junichi

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Horie, Shiro

× Horie, Shiro

en Horie, Shiro

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Hirayama, Jiro

× Hirayama, Jiro

en Hirayama, Jiro

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Hanaoka, Masayuki

× Hanaoka, Masayuki

en Hanaoka, Masayuki

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信州大学研究者総覧へのリンク
氏名 Kitaguchi, Yoshiaki
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.PUyCbhym.html
信州大学研究者総覧へのリンク
氏名 Fujimoto, Keisaku
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.yFfaHFkh.html
信州大学研究者総覧へのリンク
氏名 Hanaoka, Masayuki
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.yCLmHVkh.html
出版者
出版者 OMICS International
引用
内容記述 Journal of Pulmonary and Respiratory Medicine.5(3):263(2015)
書誌情報 Journal of Pulmonary and Respiratory Medicine

巻 5, 号 3, p. 263, 発行日 2015-05-22
抄録
内容記述 Rationale: We performed this retrospective study to clarify the clinical characteristics, survival and mortality predictors in patients with combined pulmonary fibrosis and emphysema (CPFE) and lung cancer. Methods: We retrospectively reviewed the medical records of a total of 123 patients with lung cancer, as confirmed according to histological or cytological examinations. Based on the findings of chest CT, the patients were categorized into four groups: LC+normal (n=70); LC+emphysema (n=26); LC+fibrosis (n=10); LC+CPFE (n=17). The clinical characteristics and survival of the LC+CPFE group were compared with those of the other groups. In addition, mortality predictors were evaluated in the LC+CPFE group. Results: The proportion of females was significantly higher in the LC+normal group than in the LC+CPFE and LC+emphysema groups. Significantly more patients were diagnosed with squamous cell carcinoma in the LC+CPFE group than in the LC+normal group. The proportion of patients whose primary mass was located in “nonsubpleural” areas was significantly higher in patients with CPFE who also had lung cancer in the upper lobe than in those with CPFE who also had lung cancer in the other sites. There were significant differences in survival between the LC+normal group and the other groups, whereas there were no significant differences in survival among the LC+emphysema, LC+fibrosis and LC+CPFE groups. In the LC+CPFE group, the patients with a high level of serum KL-6 at diagnosis and upper lobe lung cancer demonstrated a high risk of death. A high level of serum KL-6 at diagnosis was also independently associated with a high risk of death. Conclusions: Patients with CPFE and lung cancer may have distinct clinical characteristics. Strict follow-up is required in patients with CPFE and lung cancer whose serum KL-6 level at diagnosis is higher than the normal range and/or the primary mass of lung cancer is located in the upper lobe.
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ EISSN
収録物識別子 2161-105X
権利
権利情報 © 2015 Kitaguchi Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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