Interstitial pneumonia Lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Histologically confirmed or suspected lung cancer 2)cStage IA-IIIA, resectable 3)lobectomy or segmentectomy is planned 4)the case diagnosed as suspicious of interstitial pneumonia by one radiologist and pulmonologist. Honeycomb or fibrosis just under the pleura three or more segments in both lower lobe with high resolution computed tomography. 5)performance status of 0 to 1 6)No incidence of chest irradiation or chemotherapy. 7)Adequate hematologic, hepatic, renal, and cardiac function. WBC >=4,000/mm3 Absolute neutrophil count 2,000/mm3 Platelet count >=100,000/mm3 Hemoglobin >=10.0g/dL AST and ALT <80IU/L Total bilirubin <1.5mg/dL Creatinine 1.5 <1.3gm/dl PaO2>=70Torr(room air) Predicted postoperative FEV1>=0.8L. %DLco>=40% 8)Written informed consent
Exclusion criteria
Exclusion criteria: 1)History of cancer treatment within 5 years (except carcinoma in situ). History of radiation therapy (which include a lung in the treatment field) or chemotherapy. 2)Severe comorbidities (uncontrolled ischemic heart disease or myocardial infarction within three months. Uncontrolled diabetes, hypertension and infection) 3)Pregnant ladies, nursing ladies, the ladies with possibility of pregnancy. 4)Patients who takes steroid therapy 5)Treatment history of interstitial pneumonia with pirfenidone.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of acute exacerbation of interstitial pneumonia within 30 days after lung cancer surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Pathological accuracy of interstitial pneumonia, Postoperative morbidity and mortality, Overall survival rate, Disease free survival rate, Incidence of secondary lung cancer. | — |
Countries
Japan
Contacts
Kanagawa Cancer Center Thoracic Surgery