@article{oai:u-ryukyu.repo.nii.ac.jp:02016502, author = {源河, 圭一郎 and Genaka, Keiichiro}, issue = {2}, journal = {琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine}, note = {Four hundred and ninety eight cases of lung cancer were seen at the University Hospital of the Ryukyus and a few related hospitals in Okinawa Prefecture from January 1967 till December 1977. In this report, the present status of lung cancer was discussed from the clinical point of view and the following conclusions were reached. 1) Seventy-five percent of patients was male. 2) Sixty-three percent of cases occurr-ed in the seventh and eighth decades. 3) Fifty-eight percent of patients belonged to clinical stage III (lymph node metastases in the mediastinum and/or direct extension to intrathoracic adjacent structures). 4) Thirty-four percent of cases was found by mass chest x-ray surveys. 5) Cough, chest pain and bloody sputa were most frequent among subjective symptoms. 6) Definitive diagnoses were made in 31.7 percent of cases with flexible fiberoptic bronchoscope. 7) The most common pattern of chest roentgenograms was solitary dular type (41.4 percent). 8) Squamous cell carcinoma increased to 54.4 percent of cases for the years 1972-1977. 9) The most common histological type was squamous cell carcinoma in male, the incidence being 57.8 percent, and adencarcinoma in female, the incidence 56.5 percent. 10) Surgical resections of lung cancer were carried out in 25.3 percent of all cases. 11) Non-surgical treatments, such as radio-, chemo- and/or immunotherapy were performed in non-resected cases. 12) Cases of resection only have markedly decreased in their number and multi-disciplinary treatment for lung cancer has become prevalent for these several years., 論文}, pages = {167--174}, title = {[原著]沖縄県における肺癌診療の現状とその問題点 : 診療面からみた肺癌498例の統計的観察}, volume = {1} }