Journals / Haseki Tıp Bülteni / 2021 / Cilt: 59 - Sayı: 3

Prognostic Factors of Operated Stage I Non-Small Cell Lung Cancers: A Tertiary Center Long-Term Outcomes

Pages
221–227
DOI
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The 5-year survival rate was 67.2% overall.Patients with stage IA1, IA2, IA3, and IB tumors had 5-year survival of 78.1%, 72.5%, 77.3%, and 56.7%, respectively (p=0.009).In multivariate analysis, advanced age (≥65 years), large cell carcinoma, left-sided surgery, and higher tumor stage were the mostimportant prognostic factors associated with poorer survival.Conclusion: Advanced age was determined to be an independent poor prognostic factor, and sub-group analyses showed that survivaloutcome was better with tumors smaller than 1 cm.

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Objective & Hypothesis:Aim: This study aimed to evaluate prognostic factors influencing survival in patients who underwent surgical resection of stage I nonsmallcell lung cancer (NSCLC) in our center.Methods: A total of 472 patients with stage I NSCLC who were operated between January 2007 and November 2018 wereretrospectively analyzed in the study.
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Key Findings & Data:The remaining patients were divided into 2groups: patients younger than 65 years of age (group A) and those aged 65 and over (group B).Results: The patient group comprised 80 women (16.9%) and 392 men (83.1%); 152 patients were aged 65 years or over (32.2%) and320 patients were under 65 years of age (81.5%).
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Conclusion & Impact:The 5-year survival rate was 67.2% overall.Patients with stage IA1, IA2, IA3, and IB tumors had 5-year survival of 78.1%, 72.5%, 77.3%, and 56.7%, respectively (p=0.009).In multivariate analysis, advanced age (≥65 years), large cell carcinoma, left-sided surgery, and higher tumor stage were the mostimportant prognostic factors associated with poorer survival.Conclusion: Advanced age was determined to be an independent poor prognostic factor, and sub-group analyses showed that survivaloutcome was better with tumors smaller than 1 cm.
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Özet

Aim: This study aimed to evaluate prognostic factors influencing survival in patients who underwent surgical resection of stage I nonsmallcell lung cancer (NSCLC) in our center.Methods: A total of 472 patients with stage I NSCLC who were operated between January 2007 and November 2018 wereretrospectively analyzed in the study. Patient data was collected using hospital database. The remaining patients were divided into 2groups: patients younger than 65 years of age (group A) and those aged 65 and over (group B).Results: The patient group comprised 80 women (16.9%) and 392 men (83.1%); 152 patients were aged 65 years or over (32.2%) and320 patients were under 65 years of age (81.5%). The mean follow-up time was 51 months. The 5-year survival rate was 67.2% overall.Patients with stage IA1, IA2, IA3, and IB tumors had 5-year survival of 78.1%, 72.5%, 77.3%, and 56.7%, respectively (p=0.009).In multivariate analysis, advanced age (≥65 years), large cell carcinoma, left-sided surgery, and higher tumor stage were the mostimportant prognostic factors associated with poorer survival.Conclusion: Advanced age was determined to be an independent poor prognostic factor, and sub-group analyses showed that survivaloutcome was better with tumors smaller than 1 cm. Based on the results of our study, we believe that the classification of stage I groupshould be revised in the new edition of lung cancer staging.

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Cite This Article

DOĞRU, M. V., SEZEN, C. B., ERDOĞU, V., AKER, C., ALP, A., ERDUHAN, S., ERK, M., ÖLÇMEN, A., METİN, M. (2021). Prognostic Factors of Operated Stage I Non-Small Cell Lung Cancers: A Tertiary Center Long-Term Outcomes. Haseki Tıp Bülteni, Cilt: 59 - Sayı: 3, 221–227. https://ajindex.com/articles/347917

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