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The Journal of Thoracic and Cardiovascular Surgery, Vol 94, 349-354, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
The disease-free, postresection, 2 year survival rate of patients with T1
N0 non-small cell lung cancer surgically/pathologically staged by the Lung
Cancer Study Group is about 82%. This study of the rate of cancer
recurrence and histopathologic types is based on 572 eligible patients who
submitted to complete resection of T1 N0 lung cancer and rigorous,
systematic mediastinal lymph node sampling. The initial pathologic
interpretation and staging were reviewed by pathologists of the Lung Cancer
Study Group Pathology Reference Center to assure uniformity. Review was
completed for 82% of patients included in this report. Postoperative cancer
recurrence was observed in 107 of the 572 eligible patients.
Histopathologic classification was squamous carcinoma (226 patients) or
nonsquamous, non-small cell carcinoma (346 patients). Cancer recurrences
are more frequent and recurrence rates are higher in the patients with
nonsquamous cancer. There is a greater probability of first recurrence in
the brain in the nonsquamous carcinoma group. This study substantiates the
observation that lung cancer recurrences are histopathologically dependent
in the T1 N0 subgroup of Stage I non-small cell lung cancer, with higher
rates occurring among patients with nonsquamous carcinoma.
ARTICLES
Postoperative T1 N0 non-small cell lung cancer. Squamous versus nonsquamous recurrences. The Lung Cancer Study Group
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