Gonzalez-Barcala Francisco Javier, Falagan José Antonio, Garcia-Prim Jose Maria, Valdes Luis, Carreira Jose Martin, Pose Antonio, Canive Juan Carlos, Anton Diana, Garcia-Sanz Maria Teresa, Puga Amalia, Temes Enrique, Lopez-Lopes Rafael
Respiratory Department. Clinic University Hospital. Santiago de Compostela. Spain.
Clinical Documentation Department. Hospital of Pontevedra. Pontevedra. Spain.
Acta Med Port. 2014 May-Jun;27(3):318-24. doi: 10.20344/amp.4229. Epub 2014 Jun 30.
Patients with lung cancer usually present with symptoms at the time of diagnosis, but it is common that neither the doctor nor the patient initially associate them with the possibility of a malignant tumour.
The aim of our study is to analyse the symptoms of patients with lung cancer and the relationship with the personal characteristics or the oncological disease.
A retrospective study was conducted on all patients diagnosed with lung cancer in the Pontevedra Health Area over a period of three years. The symptoms presented by the patient, the reason for the consultation and the agreement between both or any factors associated with either of the two are analysed.
A total of 358 patients, with a mean age of 68.7 years, and of whom 87% males, were included in the study. The most common initial symptoms were, constitutional in 30.4% of the cases, cough in 20.9% of cases, and in third place was chest pain, which was referred to by 12% of the patients. The most frequent reason for the consultation was dyspnea in 22.1% of patients, an incidental finding in 15.4%, and haemoptysis in 12.8%. There was a moderate association (correlation coefficient = 0.495) between the initial symptoms and the consulting symptom.
A high percentage of patients with lung cancer had symptoms associated with the tumour at the time of diagnosis, even in early stage disease.
肺癌患者通常在确诊时出现症状，但医生和患者最初都常常不会将这些症状与恶性肿瘤的可能性联系起来。
我们研究的目的是分析肺癌患者的症状以及与个人特征或肿瘤疾病的关系。
对在三年期间在蓬特韦德拉健康区确诊为肺癌的所有患者进行了一项回顾性研究。分析了患者出现的症状、就诊原因以及两者之间的一致性或与两者中任何一个相关的因素。
共有358名患者纳入研究，平均年龄68.7岁，其中87%为男性。最常见的初始症状是，30.4%的病例为全身症状，20.9%的病例为咳嗽，排在第三位的是胸痛，12%的患者提到过。最常见的就诊原因是22.1%的患者出现呼吸困难，15.4%为偶然发现，12.8%为咯血。初始症状与就诊症状之间存在中度关联（相关系数 = 0.495）。
即使在疾病早期，高比例的肺癌患者在确诊时就有与肿瘤相关的症状。
