1. Is the burden of metastatic lymph node stations a prognostic factor in patients with resected lung cancer?
- Author
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Necati Çitak, Volkan Erdogu, Yunus Aksoy, Ayşegül Ciftci, Nisa Yildiz, Özgür İsgörücü, Servet Ozdemir, Selçuk Kose, Kenan Can Ceylan, and Muzaffer Metin
- Subjects
Non-small cell Lung Cancer ,Nodal classification ,Lymph Node Station ,Metastasis ,Prognosis ,Surgery ,RD1-811 ,Anesthesiology ,RD78.3-87.3 - Abstract
Abstract Objectives The burden of metastatic lymph node (LN) stations might reflect a distinct N subcategory with a more aggressive biology and behaviour than the traditional N classification. Methods Between 2008 and 2018, we analyzed 1236 patients with pN1/2 lung cancer. Survival was analyzed based on LN station metastasis, determining the optimal threshold for the number of metastatic LN stations that provided additional prognostic information. N prognostic subgrouping was performed using thresholds for the number of metastatic LN stations with the maximum chi-square log-rank value, and validated at each pT-stage. Results Survival showed stepwise statistical deterioration with an increase in the number of metastatic LN stations., Threshold values for the number of metastatic LN stations were determined and N prognostic subgroupswas created as sN-alpha; one LN station metastases (n = 632), sN-beta; two-three LN stations metastases (n = 505), and sN-gamma; ≥4 LN stations metastasis (n = 99). The 5-year survival rate was 57.7% for sN-alpha, 39.2% for sN-beta, and 12.7% for sN-gamma (chi-square log rank = 97.906, p
- Published
- 2024
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