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Mediastinal downstaging after induction treatment is not a significant prognostic factor to select patients who would benefit from surgery: the clinical value of the lymph node ratio
- Source :
- Interactive cardiovascular and thoracic surgery. 20(2)
- Publication Year :
- 2014
-
Abstract
- OBJECTIVES: Multimodal management of N2 non-small-cell lung cancer is still a matter of debate. In particular, the place of surgery for persistent N2 after induction treatment is controversial and surgery is usually reserved for patients experiencing a mediastinal downstaging (pN1 and pN0). We aimed to evaluate whether there might exist subgroups of pN2 according to the lymph node ratio (LNR). METHODS: Between 1996 and 2012, we retrospectively reviewed the data from 152 potentially resectable cN2 patients who underwent an induction treatment before surgery. RESULTS: The median follow-up time was 32 months (2–112). The average age at the time of diagnosis was 58.52 ± 10.47 years. In univariate analysis, overall survival (OS) was significantly influenced by extracapsular spread (32 ± 5.33 vs 24 ± 12.73 months, P= 0.01), pN after surgery (65 ± 2.45 months for pN0, 44 ± 2.14 months for pN1 and 19 ± 1.72 months for pN2, P
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Lung Neoplasms
Time Factors
medicine.medical_treatment
Predictive Value of Tests
Risk Factors
Carcinoma, Non-Small-Cell Lung
medicine
Humans
Lung cancer
Pneumonectomy
Lymph node
Aged
Neoplasm Staging
Proportional Hazards Models
Retrospective Studies
Chemotherapy
Univariate analysis
Chi-Square Distribution
business.industry
Patient Selection
Hazard ratio
Metastasectomy
Chemoradiotherapy, Adjuvant
Middle Aged
medicine.disease
Chemotherapy regimen
Confidence interval
Neoadjuvant Therapy
Surgery
Radiation therapy
medicine.anatomical_structure
Treatment Outcome
Chemotherapy, Adjuvant
Lymphatic Metastasis
Multivariate Analysis
Lymph Node Excision
Female
Radiotherapy, Adjuvant
Lymph Nodes
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 20
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Accession number :
- edsair.doi.dedup.....9852b10218b14642cb314ee9874c5fe3