ISSN: 1300-0292 İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED CINAHL, Index Copernicus, Chemical Abstracts (CA), Excerpta Medica / EMBASE Dil: Türkçe, İngilizce İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Survey Of Lung Cancer In Two Main Centers Of Turkey As A Country With A High Smoking Prevalence
Gül GÜRSEL*, Ender LEVENT*, Can ÖZTÜRK*, Ayşegül KARALEZLİ**
* Dept. of Pulmonary Disease, Gazi University School of Medicine,** Atatürk Chest Diseases and Surgery Center, Ankara, TURKEY
While the trend in cigarette consumption in some developed countries is downward, it is upward in many developing countries. Compared with developed countries, more men and fewer women currently smoke in these countries. The aim of this study was to investigate the prevalence and the characteristics of the habit of smoking in patients diagnosed as lung cancer (LC) and to analyze the relationship with the pathologic diagnosis in our patient population. This hospital-based study was carried out between 1990-1996 in two hospitals. 1046 patients were diagnosed as having LC, 966 were males (92.2 %), and 80 (7.6 %) were females. At the time of diagnosis among males 82.8 % were current smokers (CS), 11.7 % were ex-smokers (ES defined as abstinence from smoking for one year or more), and 5.5 % were non-smokers(NS) at the time of diagnosis; among females 16.3% were CS, 7.5% were ES, 76.3% were NS. The period of abstinence in the ES was 10 years or less in 77% of patients.
Among male patients, squamous cell carcinoma was the most frequent tumor type among the CS group (46%) while adenocarcinoma (45.28%) was the most frequent type in NS group. In contrast, among female patients, the most frequent tumor types among CS were small cell (53.8%) and adenocarcinoma (38.5%) whereas adenocarcinoma(36%) was the most common histological types in NS group. These results indicate that, smoking was more prevalent among males with lung cancer than among female patients and ES LC patient rates were very low in this study group suggesting that in Turkey the great majority of male lung cancer patients are CS and female lung cancer patients are NS.
Keywords: Lung cancer, Smoking habit, Ex-smoker,
Nonsmoker, Current smoker
Turkiye Klinikleri J Med Sci 1998, 18:164-169
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