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J Thorac Cardiovasc Surg 1998;115:1015-1019
© 1998 Mosby, Inc.
GENERAL THORACIC SURGERY |
From the Division of Chest Surgerya and the Division ofMedicine,b Niigata Cancer Center Hospital, Niigata, Japan.
Received for publication July 16, 1997. Revisions requested Oct. 14, 1997. Revisions received Dec. 15, 1997. Accepted for publication Dec. 15, 1997. Address for reprints: Teruaki Koike, MD, Division of Chest Surgery,Niigata Cancer Center Hospital, 2-15-3, Kawagishi-cho, Niigata 951, Japan.
Objective: In Japan, with the initiationof the lung cancer screening program, small-sized peripheral lung cancer inwhich the diameter is 2 cm or less has been increasing. The purpose of thisstudy is to determine the clinicopathologic behavior of small-sized lung cancer.
Methods: Four hundred ninety-six patientswith cT1 N0, peripheral, resected non-small-cell lung cancer, who were operatedon between 1980 and 1996, were selected, grouped by tumor diameter or histologictype, and then analyzed for clinicopathologic behavior. On the basis of measureddiameter roentgenographically, the patients were divided into two groups; groupc-S with lesions 2 cm or less in diameter and group c-L with lesions 2.1 to 3 cmin diameter.
Results: Lymph nodemetastasis was recognized in 18% of group c-S, in 23% of groupc-L, and in 21% for the entire clinical group. The rate of those with theprogressive state was 19% in group c-S and 26% in group c-L. The5-year survival was 79.5% in group c-S and 69.3% in group c-L(i.e., there was a significant difference between the two groups).
Conclusion: Compared with the patients with lesions 2.1 to3 cm in diameter, the patients with small-sized lung cancer had a milderprogressive state and a better prognosis.(J Thorac Cardiovasc Surg1998;115:1015-20)
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