Survival Impact of Stations of Pathological Lymph Nodes in N2 Non-small Cell Lung Cancer in a French Hospital.

Abstract:

BACKGROUND:The prognosis of lung cancer remains poor; only 20% of patients can undergo surgery. N2 non-small cell lung cancer (NSCLC) is a heterogeneous disease. We conducted a retrospective study to analyze the impact of N2 location on survival. METHODS:This study included 342 NSCLC with N2 involvement between 1988 and 2014. Patient-related data were collected through the CRB biobank and included demographic, therapeutic, and survival data. Survival was analyzed according to Kaplan-Maier method. Cox's regression analysis and analysis of variance (ANOVA) were used to determine factors significantly associated with survival. RESULTS:The population average age was 61.6 years; 82.2% were men, a majority were former smokers (87.1%), and 45.3% had adenocarcinoma. The main prognostic factors were male gender (p = 0.01), number of nodes (p < 0.0001), and tumor size (p < 0.0001). N2 disease had a poor survival (16 months) compared with N0 (32 months) and N1 (21.1 months) disease (p < 0.0001). The patients with involvement of station 4 (survival = 17.8 months) seemed to have a prognosis between those with station 7 (survival = 10.5 months) and N1 (survival = 22.6 months), p = 0.0005. CONCLUSIONS:N2 location has a prognostic impact in surgically NSCLC, and station 4 involvement has a better prognostic than station 7.

journal_name

Ann Surg Oncol

authors

Clément-Duchêne C,Luc A,Casse JM,Vignaud JM,Lacomme S,Anne V,Siat J,Ménard O,Martinet Y

doi

10.1245/s10434-018-6373-1

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

1262-1268

issue

5

eissn

1068-9265

issn

1534-4681

pii

10.1245/s10434-018-6373-1

journal_volume

25

pub_type

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