Search results

1

Adenoma oxyphillicum an extremely rare case of tumour of the larynx end cancer lungs which are going together

100%

Kozakiewicz J., Teodorowicz E., Haczyńska-Partyka A., Myrcik G., Lange D., Szwabowicz M.

Otolaryngologia Polska

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2007

|

vol. 61(3)

311-314

EN

There was presented an exstremely rare case of adenoma oxyphillicum of the larynx coexisting with the lung carcinoma. Diagnostical and medical conduct was throughly analyzed. It consisted such matters as detailed graphical examination, spliting of larynx, and radiotherapy and chemiotherapy of lung cancer. The authors want to call attention to limited use fullness of competent lungs X-ray in a-p projection in recognizing the early stadium of lung cancer.

2

Simultaneous Resection of the Pulmonary Lobe and Descending Thoracic Aorta Aneurysm

100%

Włodarczyk J., Pfitzner R., Olechnowicz H.

Polish Journal of Surgery

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2008

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vol. 80

|

issue 2

89-92

EN

Simultaneous resection of the pulmonary lobe and descending thoracic aorta aneurysm is a rarely performed surgical procedure. As such, it is associated with increased risk of death and perioperative complications. In this study, the patient was subjected to excision of the left lower lobe and suturing of a dacron patch into the descending aorta without the use of cardiopulmonary bypass. The perioperative period proved uneventful. The patient was discharged from the hospital 10 days after the operation.

3

A patient with lung cancer and increased right ventricular pressure – should all lung cancer patients be suspected of pulmonary embolism?

100%

Styczkiewicz K., Mędrek S., Adamowicz A., Styczkiewicz M.

|

2019

|

vol. 9

|

issue 2

45-50

EN

Lung cancer is associated with an increased risk of venous thromboembolism, including pulmonary embolism. In some situations, clinical deterioration in patients with lung cancer accompanied by elevated pressure in the right ventricle, usually measured by commonly used echocardiography, may support the diagnosis of pulmonary embolism. However, there are many other causes of increased pressure in the right ventricle in such patients, for example: progression of cancer, pre-existing lung diseases, surgical resection of pulmonary tissue, pnemotoxicity of radiotherapy or concomitant diseases of the left heart. The article presents 2 clinical cases of patients with lung cancer, in which elevated pressure in the right ventricle was resulted from other causes and accompanied the progression of cancer, despite the clinical picture suggesting a pulmonary embolism. Increased pressure in the right ventricle and usually associated pulmonary hypertension, significantly worsen already poor prognosis of patients with lung cancer. The differential diagnosis should, therefore, take into account the whole clinical picture, excluding venous thromboembolism as an important cause of pulmonary hypertension, but also take into account other potential factors to be able to make the right diagnosis and implement optimal treatment as early as possible.

4

Percutaneous vena cava superior angioplasty and stenting as an effective method of treatment in vena cava superior syndrome in the course of lung cancer

100%

Darocha S., Szmit S., Pietura R., Kurzyna M.

OncoReview

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2014

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vol. 4

|

issue 3

A108-112

EN

Vena cava superior syndrome (VCSS) is a sudden life-threatening condition encountered in patients with neoplasms. The prognosis depends on histopathological diagnosis, severity of clinical symptoms and administered treatment. Depending on the type of neoplasm, the treatment of choice may be radiotherapy or chemotherapy. In patients with rapidly increasing clinical symptoms the justified management is percutaneous balloon angioplasty of the superior vena cava with the placement of stents.

5

Przypadek gruczolaka oksyfilnego, wyjątkowo rzadkiego guza krtani, współistniejącego z rakiem płuca

100%

Kozakiewicz J., Teodorowicz E., Haczyńska-Partyka A., Myrcik G., Lange D., Szwabowicz M.

Polish Journal of Otolaryngology

|

2007

|

vol. 61

|

issue 3

311-314

EN

There was presented an exstremely rare case of adenoma oxyphillicum of the larynx coexisting with the lung carcinoma. Diagnostical and medical conduct was throughly analyzed. It consisted such matters as detailed graphical examination, spliting of larynx, and radiotherapy and chemiotherapy of lung cancer. The authors want to call attention to limited use fullness of competent lungs X-ray in a-p projection in recognizing the early stadium of lung cancer.

6

The acceptance of illness in lung cancer patients before and after surgical treatment

100%

Nowicki A., Graczyk P., Lemanowicz M.

Polish Journal of Surgery

|

2017

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vol. 89(4)

11-15

EN

Summary: Lung cancer is the most common malignant tumor in the world, as well as one of the cancers with the most fatal prognosis. The acceptance of the disease is the most important element of the adaptive process. The better the illness acceptance, the lower the stress level and the higher the self-esteem, which facilitates the adaptation to the health status. Aim: The aim of this study was to assess the acceptance of the disease in patients before and after lung cancer surgery. Materials and methods: The study was conducted in 2016 at the Center of Oncology in Bydgoszcz and the Kuyavian and Pomeranian Pulmonology Center in Bydgoszcz. The study involved 87 patients who were assessed both before and after lung cancer surgery. The original questionnaire, as well as the Acceptance of Illness Scale, were used. Results: Men accounted for 75% of the probands, 65% of the study population were 50-69 years old. The highest number of patients – 25 (28.7%) had a 5-pack-year history, and the lowest amount of patients – 8 (9.2%) had a 2.5-pack-year history. The level of acceptance of illness before and after surgery differed in 58 persons. In 29, the level of acceptance remained the same, in 45, the level of acceptance decreased, and in 13 – it increased. Before surgery, the mean acceptance of illness score was 26.2 points, and after surgery – 20.89 points. The patients both after and before surgery had acceptance of illness scores regardless of their gender, age, education, place of residence or occupational activity. Conclusions: In more than a half of the patients, the acceptance of illness decreases after surgery and is at an average level. Male patients, patients aged 50-69 years, with primary, middle or vocational education, employed persons show a significantly worse illness acceptance, regardless of their place of residence, and occupational activity do not influence the acceptance of the disease.

7

Two Synchronous, Histologically Distinct Lung Cancers in One Lobe - a Case Report

100%

Kacprzak G., Kołodziej J., Karaś J.

Polish Journal of Surgery

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2008

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vol. 80

|

issue 5

271-273

EN

A case of patent who was admitted to the unit because of lung tumor is presented in his report. After receiving the cytological diagnosis of the carcinoma non-microcellulare from biopsy taken during bronchoscopy patient was qualified for operative procedure. Upper left lobectomy was performed. During the histological investigation of postoperative specimen the diagnosis of adenocarcinoma GI was established. Furthermore in subsegmental bronchus small tumor which didn't infiltrate the whole bronchial wall was noticed. The diagnosis of carcinoma planoepitheliale keratodes GII was established. For each cancer I stage of disease was established (pT1N0M0). Postoperative period was uncomplicated. In control X-ray after 3, 6, 9 months cancer recurrence wasn't diagnosed. General condition of patient was very good (WHO 0). Patient return to the complete physical activity.

8

The relationship between chest pain and level of perioperative anxiety in patients with lung cancer

100%

Malinowska K.

Polish Journal of Surgery

|

2018

|

vol. 90(2)

23-27

EN

Introduction: Chest pain is one of the symptoms of lung cancer. Chest pain disrupts patient’s functioning in somatic and psychic area. Purpose: Whether the existence of chest pain affects the level of perioperative anxiety in lung cancer patients. Is there a relationship between everyday functioning due to the chest pain and the level of perioperative anxiety? Is there a relation between anxiety associated with pain and gender? What is the cause of anxiety in this group of the patiens? Methodology: The study was conducted among 150 patients with lung cancer before the scheduled surgery. Data was collected with the use of questionnaire assessment of perioperative anxiety level in patients with lung cancer. Results: The chest pain before the surgery was confirmed by 63 (42%) patients, in case of 87 (58%) patients it was not identified. Chest pain was in case of 48% women and 36% men. 50 (33,3%) research participants who experienced chest pain and 35 patients (23,3%) without this symptom declared experiencing perioperative anxiety. In patients with lung cancer, the correlation: between chest pain and perioperative anxiety was (Z = -4.67; p< .001); between the difficult daily functioning of pain and perioperative anxiety was (Z = -4.72; p< .001); between gender and perioperative anxiety associated with pain was (Z = -3.24; p = 001). Patients afraid of: pain (37,3%), breathing problems (24,0%), physical disability (16,0%), eating problems (12,0%) sleep disorders (9,3%), nothing (1,3%). Conclusions: Patients with chest pain exhibited significantly higher of perioperative anxiety levels than non-symptomatic patients, as well as higher anxiety levels due to deteriorated daily functioning caused by the disorder. Women had a higher level of anxiety associated with pain than men before the surgery. Patients with lung cancer were most afraid of pain in the perioperative period.

9

Przypadek gruczolaka oksyfilnego, wyjątkowo rzadkiego guza krtani, współistniejącego z rakiem płuca

100%

Kozakiewicz J., Teodorowicz E., Haczyńska-Partyka A., Myrcik G., Lange D., Szwabowicz M.

Otolaryngologia Polska

|

2007

|

vol. 61(3)

311-314

PL

There was presented an exstremely rare case of adenoma oxyphillicum of the larynx coexisting with the lung carcinoma. Diagnostical and medical conduct was throughly analyzed. It consisted such matters as detailed graphical examination, spliting of larynx, and radiotherapy and chemiotherapy of lung cancer. The authors want to call attention to limited use fullness of competent lungs X-ray in a-p projection in recognizing the early stadium of lung cancer.

10

The Influence of Immunohistochemical Factors of Bone Marrow Micrometastases on Lung Cancer Patient Survival Rate After Surgical Treatment

88%

Dancewicz M., Kowalewski J., Bella M., Sir J.

Polish Journal of Surgery

|

2007

|

vol. 79

|

issue 12

741-745

EN

The detection of micrometastases in patients with operable non-small cell lung carcinoma (NSCLC) could have a considerable influence on the choice of a proper treatment.The aim of the study was to evaluate the usefulness of microscopic examination and immunohistochemistry for the detection of micrometastases or single malignant cells in the bone marrow of patients undergoing surgery for NSCLC, as their late survival and recurrence-free time is dependent on immunohistochemical markers of cancer metastases in the bone marrow.Material and methods. Thirty-five patients were included in the study. Their age range was from 47 to 78 years old. Bone marrow was obtained from a rib during surgery for lung cancer. Both a resected tumour and bone marrow sample were tested for the presence of cytokeratins AE1/AE3, CAM 5.2, CK-7, and CK-18 and other indicators such as CD31 and CD34. The mean time of observation was 871.6 days.Results. Microscopic examination detected no malignant cells or micrometastases in the bone marrow in the analyzed group. Cytokeratin CAM 5.2 was detected in 33 cases (94.23%) in a lung tumour and in 21 cases (60%) in the bone marrow. Statistical analysis (chi2 NW), showed a statistically significant relationship between the presence of CAM 5.2 expression in a tumour and in the bone marrow. In all analysed cases, the expression of cytokeratin AE1/AE2 was found in a tumour, but was not detected in any bone marrow sample. Cytokeratin CK-7 and CK-18 were present in a tumour in 20 (57.14%) and 23 (65.71%) patients, respectively. In the bone marrow, the expression of cytokeratin CK-7 was found in one case (2.86%), and CK-18 was not found in any patients. Thirteen (37.14%) patients died during follow-up. Local recurrence was diagnosed in three patients (8.57%) and distant metastases in 15 patients (42.86%). Mean recurrence-free time was 687.7 days.Conclusions. On the basis of immunohistological tests, it was shown that a significant correlation existed between the presence of cytokeratin CAM 5.2 expression in a tumour and in the bone marrow. Its presence in the bone marrow was a good predictive factor for recurrence-free time. Mortality and the frequency of locoregional recurrence and distant metastases depend on pathological lung cancer staging.

11

Identification of serum proteome components associated with progression of non-small cell lung cancer

88%

Pietrowska M., Jelonek K., Michalak M., Roś M., Rodziewicz P., Chmielewska K., Polański K., Polańska J., Gdowicz-Kłosok A., Giglok M., Suwiński R., Tarnawski R., Dziadziuszko R., Rzyman W., Widłak P.

|

2014

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vol. 61

|

issue 2

325-331

EN

The aim of the present study was to perform comparative analysis of serum from patients with different stages of non-small cell lung cancer (NSCLC) using the three complementary proteomic approaches to identify proteome components associated with the progression of cancer. Serum samples were collected before any treatment from 200 patients with NSCLC, including 103 early stage, 64 locally advanced and 33 metastatic cancer samples, and from 200 donors without malignancy. The low-molecular-weight fraction of serum proteome was MALDI-profiled in all samples. Serum proteins were characterized using 2D-PAGE and LC-MS/MS approaches in a representative group of 30 donors. Several significant differences were detected between serum samples collected from patients with early stage cancer and patients with locally advanced cancer, as well as between patients with metastatic cancer and patients with local disease. Of note, serum components discriminating samples from early stage cancer and healthy persons were also detected. In general, about 70 differentiating serum proteins were identified, including inflammatory and acute phase proteins already reported to be associated with the progression of lung cancer (serum amyloid A or haptoglobin). Several differentiating proteins, including apolipoprotein H or apolipoprotein A1, were not previously associated with NSCLC. No significant differences in patterns of serum proteome components were detected between patients with adenocarcinoma and squamous cell carcinoma. In conclusion, we identified the biomarker candidates with potential importance for molecular proteomic staging of NSCLC. Additionally, several serum proteome components revealed their potential applicability in early detection of the lung cancer.

12

From suspicion of angioedema to the diagnosis of lung cancer

88%

Moos Ł., Żurek W., Kapeluszna K., Brzoza Z.

OncoReview

|

2020

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vol. 10

|

issue 3

108-112

EN

Angioedema is a localized and self-limiting oedema of the subcutaneous and submucosal tissue. Case presentation: 73-year-old man was admitted to the Division of Allergology with the diagnosis of angioedema. Detailed physical examination led to the suspicion of superior vena cava syndrome with secondary face swelling. Biopsy revealed metastasis of small cell carcinoma in superclavicular lymph nodes. Conclusions: Facial swelling, especially recurrent and non-inflammatory, is often, but not always caused by angioedema. Insightful differential diagnosis is crucial before making the final one.

13

microRNA-based diagnostic and therapeutic opportunities in lung cancer

88%

Zhao J., Cai Y., Liu X.

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issue 1

EN

microRNAs (miRNAs) are a class of non-coding RNA which suppress target gene expression. miRNAs are involved in most physiological and pathological process, including carcinogenesis. miRNA expression profiles help to improve lung cancer diagnosis, classification and prognostic information. Tumor suppressive and oncogenic miRNAs have been discovered and their functions have been investigated. Emphasis is placed on the development of miRNA-based methods for lung cancer diagnosis and therapy and future directions are proposed.

14

Depression and suicidal thoughts in lung cancer patients awaiting surgery

75%

Łopuszańska U., Derewianka-Polak M., Balicka G., Sawicki M., Makara-Studzińska M.

Psychiatria i Psychologia Kliniczna

|

2015

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vol. 15

|

issue 3

122-125

EN

Aims of the study: An assessment of the incidence and severity of suicidal thoughts and depression in a group of patients with lung cancer. Furthermore, we have investigated whether the increase in suicidal thoughts and depression depends on pain intensity and the overall physical function of patients. Material and methods: The study included 62 patients diagnosed with lung cancer, hospitalised in the Department of Thoracic Surgery at the Thoracic Surgery Clinic in Lublin, at the Independent Public Clinical Hospital No. 4 in Lublin. The patient population included 21 females (34%) and 41 males (66%). A total of 35 (56%) respondents came from rural regions, and the remaining 27 (44%) from the city. The average age was 59 years (standard deviation was 12.6). The severity of depression and suicidal thoughts was evaluated using the Beck Depression Inventory. In addition, Numeric Pain Intensity Scale and the Karnofsky Scale were used to assess the general functioning of the study population. Sociodemographic variables were analysed using a self-designed survey. Results: Suicidal thoughts occurred in 6.45% of respondents, exclusively in males. Statistical analysis showed that the group with depression received significantly less points in a scale measuring general functioning. There was a negative correlation between depression severity and the general functioning of patients. Depression was diagnosed in 32.25% of respondents, including mild in 25.8%, moderate in 6.45%, and severe in 4.83%. Depression affected 36.58% of men and 23.8% of women. No correlation between the severity of depression and the severity of pain was observed. Conclusions: The severity of depression increases with the decrease in overall physical functioning and is not related to pain severity.

PL

Celem badań było określenie częstości występowania oraz stopnia nasilenia myśli samobójczych, a także stopnia występowania i nasilenia depresji w grupie osób z rozpoznanym rakiem płuc. Ponadto autorzy analizowali, czy stopień nasilenia myśli samobójczych oraz depresji zależy od stopnia nasilenia bólu, jak również stanu ogólnego funkcjonowania pacjentów. Materiał i metody: W badaniu wzięły udział 62 osoby, pacjenci ze zdiagnozowaną chorobą nowotworową płuc przebywający na Oddziale Torakochirurgii w Klinice Klatki Piersiowej w Lublinie, Samodzielnego Publicznego Szpitala Klinicznego nr 4 w Lublinie. Wśród nich było 21 kobiet (34%) oraz 41 mężczyzn (66%). Trzydzieści pięć (56%) osób pochodziło ze wsi, pozostałe 27 (44%) z miasta. Średnia wieku wynosiła 59 lat (odchylenie standardowe 12,6). Do zbadania stopnia nasilenia depresji i występowania myśli samobójczych posłużono się Inwentarzem Depresji Becka. Dodatkowo wykorzystano Numeryczną Skalą Nasilenia Bólu oraz Skalę Karnofsky’ego do oceny stanu ogólnego funkcjonowania badanych osób. W celu określenia zmiennych socjodemograficznych posłużono się ankietą autorską. Wyniki: Myśli samobójcze wystąpiły u 6,45% badanych, wyłącznie u mężczyzn. Analiza statystyczna wykazała, że grupa osób z depresją otrzymała istotnie mniej punktów w skali mierzącej ogólne funkcjonowanie (Skala Karnofsky’ego). Wystąpiła negatywna zależność między nasileniem depresji a ogólnym funkcjonowaniem pacjentów. Depresję rozpoznano u 32,25% badanych, z czego u 25,8% miała ona charakter łagodny, u 6,45% umiarkowany, a 4,83% ciężki. Depresja występowała u 36,58% mężczyzn i u 23,8% kobiet. Nie zaobserwowano zależności między nasileniem depresji a nasileniem odczuwanego bólu. Wnioski: Nasilenie depresji zwiększa się wraz ze spadkiem ogólnego funkcjonowania fizycznego i nie jest powiązane z nasileniem dolegliwości bólowych.

15

Opieka nad pacjentem w przebiegu raka płuc

75%

Górniewicz M., Antczak P.

Innowacje w Pielęgniarstwie i Naukach o Zdrowiu

|

2019

|

vol. 4

|

issue 4

116-128

EN

Introduction. Lung cancer is the leading cause of cancer-related deaths in the male population. It is also a significant cause of women's death. Aim. The aim of the study is to analyze selected aspects of nursing care for a patient with lung cancer. Materials and methods. The paper analyzes literature on patient care in the course of lung cancer and mapping nursing diagnoses and interventions using the ICNP® dictionary. Conclusions. Lung cancer significantly modifies the patient's quality of life. The ICNP® classification allows you to design nursing care based on standardized terminology.

PL

Wstęp. Rak płuc główną przyczyna zgonów z powodu nowotworów w populacji mężczyzn. Stanowi także istotną przyczynę śmierci kobiet. Cel. Celem pracy jest analiza wybranych aspektów opieki pielęgniarskiej nad pacjentem z chorobą nowotworową płuc. Materiały i metody. W pracy dokonano analizy literatury poświęconej zagadnieniom opieki nad pacjentem w przebiegu raka płuc oraz przeprowadzono mapowanie diagnoz i interwencji pielęgniarskich przy użyciu słownika ICNP® . Wnioski. Rak płuc istotnie modyfikuje jakość życia pacjenta. Klasyfikacja ICNP® pozwala na projektowanie opieki pielęgniarskiej w oparciu o ujednoliconą terminologię.

16

THE ASSOCIATIONS OF SELECTED LIFESTYLE PATTERNS AND LUNG CANCER RISK: AN EVIDENCE-BASED UPDATE

75%

Kruk J., Aboul-Enein B. H.

Central European Journal of Sport Sciences and Medicine

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2016

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vol. 14

|

issue 2

37 - 53

EN

Diagnosis of lung cancer (LC) has been fraught with difficulty and by the time of definitive diagnosis, most patients are in later stages of the disease. Epidemiological studies have demonstrated that lifestyle behaviors play an etiological role in LC risk; however data in the literature on this topic often appears inconclusive or require further study. Understanding of the mechanisms operating between lifestyle patterns and their impact on LC is important for the disease’s prevention and treatment. The purpose of this study was to review the current evidence on the role of diet, body mass index (BMI), physical activity, smoking, alcohol consumption, and sex hormone use in LC development based on meta-analyses, systematic reviews and previously published epidemiologic studies. Regarded as the foremost cause of LC, evidence from studies have indicated that tobacco smoking causes LC. Additionally, exposure to outdoor air pollution and/or occupational-related exposures increase LC risk. Further, frequent consumption of red meat, processed meat increases adenocarcinoma and squamous cell carcinoma. Inverse associations between the disease risk and BMI ≥25 kg/m2, higher level of physical activity, and fruit and vegetable consumption with a high frequency were reported. Future studies are warranted to validate the association between histologic subtypes of LC and lifestyle patterns.

17

Rehabilitation after anatomical resection of lung parenchyma with persistent air leakage

75%

Janczura M.

Medical Rehabilitation

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2020

|

vol. 24(3)

35-37

PL

Anatomiczna resekcja miąższu płuca jest leczeniem z wyboru we wczesnym stadium zaawansowania raka płuca. Nieuniknionym skutkiem tych operacji jest ubytek powierzchni wymiany gazowej powodujący różnego stopnia, w zależności od rozległości zabiegu oraz operowanej strony, zaburzenie czynności oddechowej. Dlatego od pierwszych godzin po operacji pacjenci powinni być poddawani kompleksowej rehabilitacji, która ma podstawowe znaczenie dla minimalizacji ryzyka powikłań oraz poprawy funkcji oddechowej. Ze względu na upowszechnianie się koncepcji kompleksowej opieki okołooperacyjnej (ang. Enhanced recovery after surgery – ERAS), znaczenie skutecznego postępowania rehabilitacyjnego jest coraz większe. Jednym z częstszych powikłań po anatomicznej resekcji miąższu płuca jest utrzymujący się po zabiegu przeciek powietrza. W piśmiennictwie brak jest wytycznych dotyczących postępowania rehabilitacyjnego w tej grupie pacjentów. W niniejszej pracy opisano fizjoterapię pacjentów po zabiegu resekcji miąższu płuca powikłanym utrzymującym się przeciekiem powietrza.

EN

Anatomical resection of the lung parenchyma is the treatment of choice at an early stage of lung cancer. The inevitable result of these operations is the loss of the respiratory surface causing varying degrees of respiratory dysfunction, depending on the extent of the procedure and the operated side. Therefore, from the first hours after the operation, patients should undergo comprehensive rehabilitation, which is fundamental to minimize the risk of complications and improve respiratory function. Due to the popularization of the concept of enhanced recovery after surgery (ERAS), the importance of effective rehabilitation is increasing. One of the more common complications after anatomical resection of the lung parenchyma is persistent air leakage. There are no guidelines in the literature regarding rehabilitation in this group of patients. This paper describes the physiotherapy of patients after resection of the lung parenchyma complicated by persistent air leakage.

18

Opieka pielęgniarska nad pacjentem w przebiegu raka płuc

75%

Szyjkowska E.

Innowacje w Pielęgniarstwie i Naukach o Zdrowiu

|

2022

|

vol. 7

|

issue 2

78-93

EN

Introduction. Lung cancer is a malignant tumor with a very heterogeneous biology and poor prognosis. It is derived from the epithelial cells of the bronchial tree and alveoli. The aim. This work is aimed to analyze the tasks of a nurse in the care of a lung cancer patient based on a case-by-case study. Case study. Patient aged 66, was admitted to the lung diseases ward as a matter of urgency in order to deepen the diagnosis of nodular lesions of the left lung on an outpatient chest X-ray. It is the second day of the patient's stay in the ward. He is a heavy smoker. Additional diseases are gastroesophageal reflux, prostatic hyperplasia and arterial hypertension. Conclusions. The dominant nursing problems of a patient with lung cancer are: dyspnea at rest, exhausting cough with coughing up bloody discharge, chest pain, increased sweating, constipation. The nurse's task in caring for a patient with lung cancer is to participate in minimizing any ailments resulting from the disease, assisting in satisfying the patient's needs, providing psychological support to the patient and his family in the course of an unfavorable disease.

PL

Wstęp. Rak płuc jest to nowotwór złośliwy o bardzo heterogennej biologii i złym rokowaniu. Nowotwór ten jest najczęstszą przyczyną zgonów. Rak ten ma objawy o charakterze nieswoistym, które pojawiają się późno. Nowotwór płuc dotyczy osób starszych. Głównymi czynnikami ryzyka powstawania raka płuc są: aktywne palenie tytoniu, bierne palenie tytoniu. Rak płuca przez bardzo długi czas nie daje objawów i dolegliwości. Głównymi problemami, z którymi musi uporać się pielęgniarka są: ból w klatce piersiowej, nasilająca się duszność spoczynkowa, kaszel, krwioplucie, gorączka. Podstawowymi badaniami służącymi do diagnostyki tego nowotworu są badania krwi oraz RTG klatki piersiowej. Najczęstsze metody leczenia to chemioterapia, radioterapia oraz leczenie chirurgiczne. Cel. Celem pracy jest określenie zadań sprawowanych przez pielęgniarkę w planie opieki wdrażanej wobec pacjenta z rakiem płuc. Prezentacja przypadku. Pacjent lat 66 przyjęty do oddziału chorób płuc w trybie pilnym w celu pogłębienia diagnostyki zmiany guzowatej płuca lewego w wykonanym ambulatoryjnie RTG klatki piersiowej. Jest to druga doba pobytu chorego w oddziale. Jest nałogowym palaczem tytoniu. Dodatkowymi chorobami są refluks żołądkowo-przełykowy oraz przerost gruczołu krokowego i nadciśnienie tętnicze. Wnioski. Dominującymi problemami pielęgnacyjnymi pacjenta z rakiem płuc są: duszność spoczynkowa, męczący kaszel z odkrztuszaniem krwistej wydzieliny, ból w klatce piersiowej, wzmożona potliwość, zaparcia. Zadaniem pielęgniarki w opiece nad pacjentem z rakiem płuc jest udział w minimalizowaniu wszelkich dolegliwości wynikających z choroby, asystowanie przy zaspokajaniu potrzeb pacjenta, wsparcie psychiczne dla pacjenta oraz jego rodziny w przebiegu choroby o niepomyślnym rokowaniu.

19

Rak płuca u 55-letniego chorego – problemy diagnostyczne

75%

Zagdańska R., Grzelewska-Rzymowska I.

Pediatria i Medycyna Rodzinna

|

2009

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vol. 5

|

issue 4

296-300

EN

Lung cancer is the most common neoplasm on over the world and remains the leading cause of cancer death in both men and women. The predominant cause of lung cancer is exposure to tobacco smoke. The methods using for diagnosis and monitoring of the disease are based on radiological, cytological and histopathological examinations. The prognosis for survival in lung cancer is very poor which is mostly caused by late diagnosis when the disease gets the last phases. The prevention methods used for early detection of lung cancer include X-ray chest examination, cytological sputum examination and chest computer tomography (CT). In that article we present the case of history of 55 years old patient, heavy smoker, who was admitted to the hospital because of tumour of right lung and right hilus showed on chest X-ray. The bronchoscope revealed extended changes in bronchium for the left lower lobe, which were not present on chest X-ray but only in later done CT. If there were no changes in right lung, probably the diagnostic examinations in that patient, with high risk of lung cancer, would be performed much later. That is because the present guidelines do not recommend that low-dose CT should be used to screen for lung cancer.

PL

Rak płuca jest najczęstszym nowotworem złośliwym na świecie, występuje kilkakrotnie częściej u mężczyzn niż u kobiet. Stanowi pierwszą przyczynę zgonów z powodu chorób nowotworowych u mężczyzn i drugą u kobiet. Najbardziej znanym czynnikiem ryzyka zachorowania na raka płuca jest palenie tytoniu. W rozpoznawaniu i monitorowaniu przebiegu choroby wykorzystuje się badania obrazowe i badania morfologiczne, które służą do wykrywania komórek nowotworowych. Rak płuca należy do najgorzej rokujących nowotworów, wynika to głównie z późnego rozpoznawania choroby. Profilaktyka wtórna raka płuca obejmuje badania, które polegają na wykrywaniu wczesnych stadiów nowotworu. Do badań tych należą okresowe badania RTG klatki piersiowej, badania cytologiczne plwociny oraz tomografia komputerowa. W pracy przedstawiamy przypadek diagnozowanego 55-letniego chorego, wieloletniego palacza papierosów. Chory został przyjęty do kliniki z powodu widocznych na zdjęciu RTG klatki piersiowej zmian guzowatych w okolicy wnęki oraz w samej wnęce płuca prawego. Badanie bronchoskopowe ujawniało obecność rozległych zmian naciekowych w oskrzelu dolnopłatowym płuca lewego, co potwierdziło radiologicznie dopiero badanie komputerowe. Gdyby nie obecność zmian w płucu prawym, to omawiany chory, należący do grupy wysokiego ryzyka zachorowania na raka płuca, nie zostałby skierowany na badania diagnostyczne. Aktualne wytyczne dotyczące postępowania w raku płuca nie zalecają wykonywania tomografii komputerowej z użyciem małej dawki promieniowania jako badania przesiewowego w kierunku raka płuca.

20

Effects of rehabilitation on physical efficiency in patients with lung cancer evaluated by means of the 6-minute walking test

75%

Barinow-Wojewódzki A., Laurentowska M., Domaszewska K., Lesiński F., Kaliszewska-Szczepaniak A., Rychlewski T.

|

2008

|

vol. 16

|

issue 3

36-47

PL

Celem badań była ocena wpływu 3 programów rehabilitacyjnych o zróżnicowanej intensywności na wydolność fizyczną pacjentów z rakiem płuc znajdujących się w trakcie radioterapii. Obserwacjami objęto 70 mężczyzn w wieku 63 lat. Przed rozpoczęciem fizjoterapii oraz bezpośrednio po jej ukończeniu chorzy poddani zostali próbie 6-minutowego testu marszowego. Przydział do odpowiedniej grupy rehabilitacyjnej następował na podstawie wyniku testu marszowego wykonanego przed rozpoczęciem terapii. Umiarkowany program rehabilitacyjny, obejmujący ogólnoustrojowe ćwiczenia usprawniające, spowodował korzystniejsze zmiany w kształtowaniu wydolności w porównaniu z leczeniem rehabilitacyjnym poszerzonym o trening wytrzymałościowy.

EN

The aim of the research was to evaluate the effects of three rehabilitation programmes of various intensity on physical efficiency in patients with lung cancer undergoing radiotherapy. The examined group consisted of 70 men aged 63 who before and after the rehabilitation programme performed the 6-minute walking test. They were qualified to a proper rehabilitation group on the basis of the walking test carried out before the therapy. The moderate rehabilitation programme including systemic rehabilitation exercises resulted in positive changes in physical efficiency in comparison with rehabilitation programme combined with endurance training.

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Effects of rehabilitation on physical efficiency in patients with lung cancer evaluated by means of the 6-minute walking test