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Artigo de Revisão\Revision Article
Marcos históricos no estudo do cancro do pulmão*
Historic landmarks in the study of lung cancer
Renato Sotto-Mayor**
** Chefe de Serviço de Pneumologia. Coordenador do Serviço de Pneumologia do Hospital de Santa Maria. Assistente Convidado da Faculdade de Medicina de Lisboa
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">No presente trabalho evocam-se os marcos hist&#243;ricos no estudo do cancro do pulm&#227;o&#44; desde as suas primeiras descri&#231;&#245;es at&#233; finais do s&#233;culo XX&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Acompanha-se o nascer da nova entidade cl&#237;nica&#44; real&#231;am-se as dificuldades do seu diagn&#243;stico&#44; o aumento progressivo da sua incid&#234;ncia&#44; e discute-se a evolu&#231;&#227;o dos conceitos no que se refere aos factores etiol&#243;gicos&#44; com especial &#234;nfase para o tabagismo&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Paralelamente&#44; abordam-se os aspectos cl&#237;nicos e as novas conquistas no campo da imagiologia&#44; das t&#233;cnicas endosc&#243;picas e bi&#243;pticas&#44; assim como as classifica&#231;&#245;es histopatol&#243;gicas dos tumores broncopulmonares e os respectivos sistemas de estadiamento ao longo das &#233;pocas&#44; a import&#226;ncia dos rastreios&#44; e as diferentes armas terap&#234;uticas que sucessivamente foram estando dispon&#237;veis&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">D&#225;-se tamb&#233;m aten&#231;&#227;o &#224;s escalas de avalia&#231;&#227;o do estado fiosiol&#243;gico dos doentes&#44; aos crit&#233;rios de avalia&#231;&#227;o da resposta &#224; terap&#234;utica oncost&#225;tica e ao papel que algumas sociedades cient&#237;ficas e associa&#231;&#245;es m&#233; dicas internacionais e portuguesas tiveram nos progressos alcan&#231;ados na &#225;rea do saber m&#233;dico relacionado com o cancro do pulm&#227;o&#44; n&#227;o esquecendo de apontar&#44; nos momentos pr&#243;prios&#44; os intervenientes de cada conquista alcan&#231;ada&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">&#201; uma hist&#243;ria aliciante &#8211; como &#233; o da medicina em geral &#8211; que consideramos importante conhecermos&#44; para melhor compreendermos o presente&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 401-446</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">This study reviews the milestones which have been reached in the study of lung cancer&#44; from its first early descriptions up until the end of the twentieth century&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">The study accompanies the birth of this new clinical entity&#44; underlining the difficulties inherent in its diagnosis&#44; its ever-growing increase and traces the growth of its aetiological factors&#44; placing particular emphasis on smoking&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">In tandem with this&#44; the study delves into the clinical aspects&#44; along with new discoveries in imaging techniques and endoscopic and bioscopic techniques&#46; It also looks at the histopathological classifications of bronchopulmonary tumours and the various staging systems which have been used over the course of time as well as the importance of mapping the disease and the different treatment weapons which have successively become available in the fight against it&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall">The study also takes a look at the scales used in evaluating patients&#8217; physiological condition&#44; the criteria used in evaluating response to oncostatic treatment and the role some international and national scientific societies and medical associations have played in adding to the increasing medical knowledge of lung cancer&#46; The study clearly shows to whom we are indebted for each advance&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall">This is a fascinating sweep of history &#8211; as is the story of all medical progress &#8211; and one we feel is important to understand&#44; in order for us to see more clearly where we are now&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006&#59; XII &#40;4&#41;&#58; 401-446</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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Pulmonology

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