P3.04-045 Primary Lung Cancer Presenting as Pneumothorax: Topic: Miscellaneous II

Abstract

Analysis of our patients with primary lung cancer presenting as pneumothorax. Between 2010 -2015 we treated in our clinic among 338 adults (258 men and 80 women) presenting with spontaneous pneumothorax, there were nine men and two woman with lung cancer: Seven squamous cell carcinoma, three adenocarcinoma and one oat cell carcinoma. Pneumothorax led to the diagnosis in 11 cases and the remaining occurred as a complication of known neoplastic disease. The average age was 60 years from (32-72 years old). We analyze these 11 cases treated in our hospital. In patients with normal chest x-ray film findings after lung expansion, further investigation for neoplastic disease is not justified. But we need to perform and chest CT and other investigation in patients with, heavy smoking, chronic bronchitis, bullous emphysema and incomplete lung expansion after chest drainage also patients with age over 50 years old. The occurrence of a pneumothorax in patients with lung cancer, worsening prognosis. Five-year survival is poor, suggesting that lung cancers present as pneumothorax at an advanced stage of disease.