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《Chinese Journal of Cancer》 2007-11
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Multivariate Survival Analysis of 899 Patients with Non-small Cell Lung Cancer after Complete Resection

WEI Wei-Dong1,2,WEN Zhe-Sheng1,2,SU Xiao-Dong1,2,LIN Peng1,2,RONG Tie-Hua1,2,CHEN Li-Kun1,3 1. Stake Key Laboratory of Oncology in South China,Guangzhou,Guangdong,510060,P. R. China 2. Department of Thoracic Surgery,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P. R. China 3. Department of Medical Oncology,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P. R. China  
BACKGROUND OBJECTIVE: Multi-displinary management for non-small cell lung cancer (NSCLC) has been applied for more than ten years. The progresses in the diagnosis and management of NSCLC might change the factors affecting prognosis. This study was to explore the prognostic factors of NSCLC after complete resection. METHODS: Clinical data of 899 NSCLC patients,underwent complete resection from Jan. 1997 to Apr. 2001 at Cancer Center of Sun Yat-sen University,were reviewed. The patients were followed up till 31st Mar. 2006. Survival rates were calculated by Kaplan-Meier method. The prognosis was analyzed by Cox proportional hazards model. RESULTS: The 5-year survival rate of the 899 patients was 43.5% and the median survival time was 48 months. The 5-year survival rates were 81.0% for the patients at stage ⅠA,60.3% for stage ⅠB,56.9% for stage ⅡA,45.7% for stage ⅡB,23.5% for stage ⅢA,20.8% for stage ⅢB,and 13.0% for stage Ⅳ. Univariate analysis showed that T stage,N stage,M stage,histological type,differentiation,chemotherapy for adenocarcinoma (ADC) at stages Ⅱ and Ⅳ,and mediastinal radiotherapy for ADC at stage N2 were prognostic factors. Multivariate analyses showed that histological type,T stage,N stage,M stage and mediastinal radiotherapy for ADC at stage N2 were independent prognostic factors. CONCLUSION: Besides T stage,N stage,and M stage,histological type and mediastinal radiotherapy for ADC at stage N2 are also independent prognostic factors of NSCLC after complete resection.
【CateGory Index】: R734.2
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