Clinico-Pathological Profile of Diagnosed Patients of Lung Cancer with Its Relation to Smoking Habit and Educational Status in a Medical College of Paschim Medinipore West Bengal, India- a Tribal Area Prospective
Clinico-pathological profile of diagnosed patients of lung cancer with its relation to smoking habit and educational status in a medical college of paschim medinipore west
Bengal, india- A Tribal area prospective
Abinash Agarwala1, PP Roy2, Samir kumar Sarkar3, Siddhartha kumar Das4, Ankan Banerjee5
1
2
R M O cum CT Chest Department, Medinipore medical college, West Bengal, India
Professor & HOD, Chest Department, Medinipore Medical College & Hospital, West Bengal, India
3
R.M.O. Cum CT, Bankura Sammilani Medical College, West Bengal, India
4
R.M.O Cum CT, College of Medicine & JNM Hospital, West Bengal, India
5
Assistant Professor, Chest Department, Medinipore Medical college, West Bengal, India
ABSTRACT
Background: Lung cancer is one of the commonest and most lethal cancer throughout the world. Tobacco smoking continues to be the leading cause of lung cancer worldwide. An increase incidence of lung cancer has been observed in India.Objective: The aim of this study was to find out the demographic and clinico-pathological profile of diagnosed lung cancer patients and its relation to smoking habit and educational status in tribal area of paschim
Medinipore West Bengal, India. Materials and Methods: We performed a retrospective analysis of histopathologically proven cases of lung cancer admitted in our hospital from June 2011 to June 2014. Results: Out of 160 patients, male 140 and female 20, 88.75% were smoker and only 15% are ≤40 years of age. Smoking is the major risk factor for lung cancer .The most frequent symptom was cough (73.75%) followed by chest pain
(58.75%). The most common radiological presentation was mass lesion (66.25%).Squamous cell carcinoma was most common histopathological type followed by adenocarcinoma (51% & 31%). Poor people of tribal area who are less educated were mostly the victim of the disease. Conclusion: It was found that squamous cell carcinoma was the most frequent histopathological type. Adenocarcinoma was predominates type below 40 years and squamous cell carcinoma was more common in age group above 40 years. Smokings still remain the major risk factor. Most of cancer patients were less educated and were not aware about ill effect of smoking.
Keywords: Lung cancer, histopathological type, smoking, education.
Introduction
The relative frequency and clinicopathological profile of different histological subtypes of primary lung cancer have been changing in recent years .It may probably due to changes in the smoking habit, growing popularity of low-tar/filter cigarettes and exposure to other occupational and environmental agents[1-8].
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*Correspondence
Dr. Abinash Agarwala
M.B.B.S, M.D. (Chest Medicine)
R M O cum CT Chest Department,
Medinipore medical college, West Bengal, India
E-Mail: abinash_agarwala@rediffmail.com
According to the first population-based cancer registry
(PBCR) from eastern part of India published in 2002, the highest number of lung cancer cases among male has been documented from west Bengal compared to other regions of India. It is the most common site of cancer in male (16.3%) and the fifth leading site in female (3.9%) in west Bengal[9].
In this study, we have documented our experience of lung cancer in a tertiary medical college of west Bengal in tribal area and compared it with reports of other part of India and abroad. We also try to evaluate the relationship of lung cancer with smoking habit and educational status in tribal area West Bengal.
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ASIAN PACIFIC JOURNAL OF HEALTH SCIENCES, 2014; 1(4): 479-485
This retrospective study was evaluated using database with 160 patients of lung cancer who had diagnosed at our hospital. The clinical records of the patients reviewed in relation with age, sex, duration of symptoms, smoking habit, educational status, knowledge about ill effect of smoking, radiographic finding, method of diagnosis, histopathology. Major diagnosis was based on either imaging guided percutaneous fine needle aspiration cytology or fibre optic bronchoscopy. Test of significance was done by Chi-square test. The Ethical committee of the institute has approved the study.
The study included 160 patients and there was an overall male predominance with male/female ratio of 7:1(160 male and 20 female). 70 % (14/20) of female and only
5.71% (8/140) of male were diagnosed at age less than
40 years. Incidence of lung cancer was significantly higher in young female as compared to young male where as in old age group ,male were more suffered than female (p=
