The Prognostic Significance of Multiple Station N2 in Patients with Surgically Resected Stage IIIA N2 Non-small Cell Lung Cancer
Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in sta...
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| Published in | Journal of Korean medical science Vol. 23; no. 4; pp. 604 - 608 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Academy of Medical Sciences
01.08.2008
대한의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1011-8934 1598-6357 |
| DOI | 10.3346/jkms.2008.23.4.604 |
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| Abstract | Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system. |
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| AbstractList | Mediastinal (N2) lymph node involvement is heterogenous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (
p
=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system. Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system.Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system. Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system. Mediastinal (N2) lymph node involvement is heterogenous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system. KCI Citation Count: 8 |
| Author | Cho, Sang Ho Lee, Jin Gu Chung, Kyung Young Kim, Dae Joon Kim, Kil Dong Lee, Chang Young Park, In Kyu |
| AuthorAffiliation | Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea Department of Thoracic and Cardiovascular Surgery, Eulji University School of Medicine, Daejon, Korea |
| AuthorAffiliation_xml | – name: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – name: Department of Thoracic and Cardiovascular Surgery, Eulji University School of Medicine, Daejon, Korea |
| Author_xml | – sequence: 1 givenname: Jin Gu surname: Lee fullname: Lee, Jin Gu organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 2 givenname: Chang Young surname: Lee fullname: Lee, Chang Young organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 3 givenname: In Kyu surname: Park fullname: Park, In Kyu organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 4 givenname: Dae Joon surname: Kim fullname: Kim, Dae Joon organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 5 givenname: Sang Ho surname: Cho fullname: Cho, Sang Ho organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea – sequence: 6 givenname: Kil Dong surname: Kim fullname: Kim, Kil Dong organization: Department of Thoracic and Cardiovascular Surgery, Eulji University School of Medicine, Daejon, Korea – sequence: 7 givenname: Kyung Young surname: Chung fullname: Chung, Kyung Young organization: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea |
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| Cites_doi | 10.1378/chest.111.6.1718 10.1016/S0003-4975(10)64717-0 10.1002/1097-0142(19940515)73:10<2589::AID-CNCR2820731021>3.0.CO;2-X 10.1056/NEJMoa043623 10.1378/chest.111.6.1710 10.1016/S0022-5223(19)37318-0 10.1200/jco.2005.23.16_suppl.7013 10.1016/S0039-6109(16)44341-0 10.1016/S0003-4975(00)02609-6 10.1016/j.athoracsur.2004.06.081 10.1016/S0169-5002(97)00072-X 10.1016/j.lungcan.2003.08.020 10.1259/0007-1285-68-808-348 10.1378/chest.110.4.1004 10.1016/S0003-4975(00)01673-8 10.1016/j.jtcvs.2003.09.012 10.1378/chest.100.2.422 10.1200/JCO.2000.18.16.2981 10.1067/mtc.2001.116473 10.1093/jnci/89.1.88-a |
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| Snippet | Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a... Mediastinal (N2) lymph node involvement is heterogenous with huge variation in the extent and grouped together under stage IIIA. However, they showed a... Mediastinal (N2) lymph node involvement is heterogenous with huge variation in the extent and grouped together under stage IIIA. However, they showed a... |
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| SubjectTerms | Adult Aged Carcinoma, Non-Small-Cell Lung - mortality Carcinoma, Non-Small-Cell Lung - pathology Female Humans Lung Neoplasms - mortality Lung Neoplasms - pathology Male Middle Aged Neoplasm Metastasis Neoplasm Staging Original Prognosis Survival Rate 의학일반 |
| Title | The Prognostic Significance of Multiple Station N2 in Patients with Surgically Resected Stage IIIA N2 Non-small Cell Lung Cancer |
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