The Prognostic Significance of Multiple Station N2 in Patients with Surgically Resected Stage IIIA N2 Non-small Cell Lung Cancer.
10.3346/jkms.2008.23.4.604
- Author:
Jin Gu LEE
1
;
Chang Young LEE
;
In Kyu PARK
;
Dae Joon KIM
;
Sang Ho CHO
;
Kil Dong KIM
;
Kyung Young CHUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea. kychu@yuhs.ac
- Publication Type:Original Article
- Keywords:
Lung Neoplasms;
Lymph Node, Neoplasm Metastasis;
Prognosis
- MeSH:
Adult;
Aged;
Carcinoma, Non-Small-Cell Lung/*mortality/pathology;
Female;
Humans;
Lung Neoplasms/*mortality/pathology;
Male;
Middle Aged;
Neoplasm Metastasis;
Neoplasm Staging;
Prognosis;
Survival Rate
- From:Journal of Korean Medical Science
2008;23(4):604-608
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
