Sex-specific emphysematous changes evaluated by a three-dimensional computed tomography volumetric analysis among patients with smoking histories who underwent resection for lung cancer

© 2023. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd..

PURPOSE: The present study evaluated the sex-specific susceptibility to the development of emphysema in patients with smoking histories who underwent lung cancer surgeries.

METHODS: Lung cancer patients with smoking histories who underwent lung resection at the University of Tsukuba Hospital, Japan, were enrolled. Radiologic emphysematous changes were analyzed using three-dimensional computed tomography (3D-CT). The volume proportion of emphysematous lung per unit of smoking and the relationship between emphysematous change and clinicopathologic factors were evaluated.

RESULTS: Radiologic emphysematous changes analyzed using 3D-CT per pack-year smoked, defined as the Smoking-Emphysema Index (SEI), were greater in females than males. The difference was more profound in adenocarcinoma patients than in non-adenocarcinoma patients (0.70 ± 2.30 vs. 0.21 ± 0.28, P = 0.037).

CONCLUSION: Female lung cancer patients are more susceptible to smoking-induced emphysema than males. The SEI may be an effective indicator for evaluating smoking-induced emphysema.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Surgery today - 54(2024), 2 vom: 14. Jan., Seite 113-121

Sprache:

Englisch

Beteiligte Personen:

Wijesinghe, Ashoka Indranatha [VerfasserIn]
Kobayashi, Naohiro [VerfasserIn]
Kitazawa, Shinsuke [VerfasserIn]
Maki, Naoki [VerfasserIn]
Yanagihara, Takahiro [VerfasserIn]
Saeki, Yusuke [VerfasserIn]
Kikuchi, Shinji [VerfasserIn]
Goto, Yukinobu [VerfasserIn]
Ichimura, Hideo [VerfasserIn]
Sato, Yukio [VerfasserIn]

Links:

Volltext

Themen:

3D-CT
Emphysema
Journal Article
Lung cancer
Sex
Smoking

Anmerkungen:

Date Completed 23.01.2024

Date Revised 23.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00595-023-02707-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357738225