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(Chest. 1974;66:483-487.)
© 1974 American College of Chest Physicians

Operative Mortality and Five-Year Survival Rates in Men with Bronchogenic Carcinoma

William Weiss M.D.1

1 Professor of Medicine, Hahnemann Medical College

Twelve teaching hospitals in Philadelphia reported 833 histologically proved cases of bronchogenic carcinoma in men to the County Medical Society Subcommittee on Lung Cancer from 1961 to 1965. An analysis was made of the 547 cases operated on with respect to risk at operation and five-year survival rate in relation to age, histologic type, and surgical procedure. Exploratory operations in patients whose cancers were not resected were included in the calculations because such patients have a significant death rate at operation but no benefit. The overall operative death rate was 12.4 percent and the five-year survival rate was 15.7 percent. Operative risk exceeded the five-year survival rate in men 70 years of age and older, in men with undifferentiated cell carcinoma, in men with exploratory operation without resection, and in those 60 years of age and over requiring pneumonectomy, especially right pneumonectomy. The results were similar to those reported for the years 1956-1960.

Submitted on December 26, 1973
Accepted on April 22, 1974




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