Japanese Journal of Clinical Oncology, Vol 27, Issue 2 63-66, Copyright © 1997 by Foundation for Promotion of Cancer Research
WC Hsieh, YM Chen and RP Perng
We retrospectively reviewed the chart records at the Veterans General
Hospital-Taipei for the period between January 1985 and December 1994 to
examine the temporal relationship between cancers of the lung and upper
aerodigestive tract. A total of 56 patients (54 males, 2 females) with
histocytologically proven double primary cancers, with either lung cancer
or upper aerodigestive tract cancers appearing first, were found. Squamous
cell carcinoma was the most frequent histologic type of lung cancer
(squamous 57%, adenocarcinoma 27%, poorly differentiated carcinoma 9%,
small cell lung cancer 7%). The incidence of lung cancer patients with
upper aerodigestive tract cancer was 0.9% (56/6412). There was no
significant difference in the occurrence of upper aerodigestive tract
cancer between non-small cell and small cell lung cancer (P > 0.05).
However, the incidence of squamous cell lung cancer with upper
aerodigestive tract cancer was higher than that of non-squamous cell lung
cancer (P < 0.05). With regard to the location of lung cancer, the right
lung was more commonly affected than the left (P < 0.001). The locations
of upper aerodigestive tract cancers in these lung cancer patients were as
follows: larynx 24, nasopharynx 11, esophagus 10, hypopharynx 4, pharyngeal
tonsils 2, oral cavity 5. Most upper aerodigestive tract cancers were
diagnosed before lung cancer (36/56, 64%), and lung cancer was diagnosed
within 3 years in more than half of cases after the diagnosis of upper
aerodigestive tract cancer (58.3%). Most lung cancers that preceded upper
aerodigestive tract cancer were at an early stage at diagnosis (stage I 4,
stage Illa 1), whereas the others, appearing either synchronously or after
the diagnosis of upper aerodigestive tract cancer, were mostly at the late
stage. There was no difference in survival between lung cancer patients
with upper aerodigestive tract cancer and those without (P > 0.05).
ORIGINAL ARTICLE
Temporal relationship between cancers of the lung and upper aerodigestive tract
Chest Department, Veterans General Hospital-Taipei, Taiwan, ROC.
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