Multiple primary @entity189 of the lung were histologically confirmed in 23 male @entity1 . Five were @entity7158 . Seventeen of the second @entity2 originated in the contralateral lung. The major cell type was epidermoid (17/23), and in 11 @entity1 the @entity5 was similar in histologic features to the first lesion. Examination of pulmonary secretions as a diagnostic aid in the identification of the second @entity5 was employed for 73.9% (17/23) of the @entity1 . With a single exception, these were obtained at the second diagnostic hospitalization rather than as an outpatient monitoring procedure. Only nine @entity1 had a series of cytologic preparations consisting of three consecutive early morning sputa, bronchial washings/brushings, and a postbronchoscopy sputum. A cytodiagnosis of @entity5 was established in 82.4% (14/17) of the cases and preceded histologic verification in ten. Radiologic evidence of a second primary was noted in only 56.5% (13/23) of the @entity1 . Pulmonary cytologic examination as a monitoring procedure was not employed in the outpatient follow-up for 64 @entity1 surviving @entity2 for 18 months or longer. Posttherapeutic studies were obtained on 39.1% (25/64) of the hospitalized @entity1 . Thirty-two percent (8/25) were collected concurrently with tissue biopsies for the confirmation of recurrence or @entity3 . @entity1 with primary @entity2 resected for cure should be monitored on a regular basis to include the cytologic examination of three consecutive early morning sputa and a chest radiograph.

Pulmonary cytologic examination in the identification of the second primary XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity7158 :: ('MESH:D009378', 'Disease') :: ['synchronous neoplasms'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancer', 'malignant neoplasm'] @entity2 :: ('MESH:D008175', 'Disease') :: ['pulmonary cancer', 'pulmonary cancers'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomas'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity2 :: (MESH:D008175,Disease) :: ['carcinoma of the lung']
