Analysis of acute exacerbation from focal usual interstitial pneumonia following to lung cancer resection

Masayuki Chida, H. Takahashi, H. Yamanaka, H. Suda, S. Maeda, T. Kondo

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2 Citations (Scopus)

Abstract

To evaluate the susceptibility of patient with focal interstitial pneumonia (IP) to postoperative acute exacerbation, and to determine whether measuring serum level of several markers is useful for early detection of postoperative IP or not, we analyzed a total of 753 patients with primary lung cancer underwent thoracotomy. Twelve (1.6%) had postoperative IP. Eight of the 12 died due to IP and 9 of the 12 had focal IP findings on chest computed tomography (CT). Chest CT of 477 patients were reviewed retrospectively, and 51 (10.7%) had IP findings (diffuse 2.1%, focal 8.6%). Postoperative IP occurred in 17.6% of patients with IP findings, but only in 0.7% without such findings (p<0.01). Values of serum KL-6 decreased after lung resection. There were no changes in the value of serum TNF-alpha, IL-1beta, thrombomodulin and sICAM-1 after surgery. We conclude that focal IP is a risk factor of postoperative IP, and that it is not useful to measure serum markers for early detection of postoperative IP.

Original languageEnglish
Pages (from-to)22-25
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume58
Issue number1
Publication statusPublished - 2005 Jan

ASJC Scopus subject areas

  • Medicine(all)

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