Survival following complete resection of multifocal T4 node-negative NSCLC: a retrospective study
| Autor: | Alberto Terzi, Antonio Santo, Birgit Feil, C. Benato, G. Genestreti, G. Falezza, S. Furia, Francesco Calabrò |
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| Rok vydání: | 2007 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Lung Neoplasms Mediastinoscopy Satellite Nodule Carcinoma Non-Small-Cell Lung medicine Carcinoma Humans Stage (cooking) Lung cancer Pneumonectomy Survival rate Aged Neoplasm Staging Retrospective Studies medicine.diagnostic_test business.industry Mediastinum Retrospective cohort study Middle Aged medicine.disease Prognosis respiratory tract diseases Surgery Survival Rate medicine.anatomical_structure Lymphatic Metastasis Female Lymph Nodes Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Thoracic and cardiovascular surgeon. 55(1) |
| ISSN: | 0171-6425 |
| Popis: | Background Multifocal NSCLC in the same lobe are staged as T4. This study was designed to assess the impact of multifocal NSCLC in the same lobe on survival in completely resected node-negative patients to determine whether the T4 (stage III B) designation is valid. Method We reviewed our database from October 1987 through 2004 to identify completely resected patients with N0 multifocal (T4) NSCLC. Patients with multifocal pure bronchiolo-alveolar carcinoma were excluded. Thirty-two patients had multifocal NSCLC in the same lobe and were node-negative. Results Five-year survival rate was 42.4 % for the whole group with a median survival of 48 months. When tumors were staged independently of the satellite nodule/s, patients in stage I A had a 5-year survival rate of 55 % while those in stage I B had a rate of 22 %. Conclusion Patients with N0 multifocal intralobar NSCLC should be upstaged but not to stage IIIB. They should undergo complete surgical resection whenever multiple nodules are detected preoperatively. |
| Databáze: | OpenAIRE |
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