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Ann Thorac Surg 1980;30:215-223
© 1980 The Society of Thoracic Surgeons

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Articles

Occult Carcinomas of the Lung

From the Thoracic Service, Department of Surgery, and Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY

^* Address reprint requests to Dr. Martini, Memorial Hospital, 1275 York Ave, New York, NY 10021

In 1974, we reported 26 patients with roentgenographically occult lung carcinomas. In 13 (50%) of them, the tumor was localized and treated by resection while the disease was still early (Stage I). These patients have done well, and the median survival has reached 8 years. We have added 21 patients to the series since our last report. Localization was by fiberoptic bronchoscopy in all 21. Fourteen of these patients had Stage I disease and were treated by resection.

Of a total of 27 patients with early disease treated by resection, none has had recurrence after follow-up extending from 2 months to 20 years. However, in 21 of the entire 47 patients (45%) a second carcinoma developed, 15 (71%) of which were second lung carcinomas.

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