Prognosis of T3 patients with resected non-small cell lung cancer according to the invaded organs
Inoue, K.; Sagawa, M.; Sato, M.; Ono, S.; Matsumura, T.; Sakurada, A.; Handa, M.; Tanita, T.; Kondo, T.; Fujimura, S.
Kyobu Geka. Japanese Journal of Thoracic Surgery 51(11): 907-910
1998
ISSN/ISBN: 0021-5252 PMID: 9789417 Document Number: 484317
We investigated the prognosis of completely resected 119 non-small cell lung cancer patients according to the invaded organs. There was no significant difference in prognosis between T3N0M0 and T3N1M0 patients (5-year survival rate: 34% vs. 38%). However, the prognosis of T3N2M0 patients (5-year survival rate: 11%) was too poor to be regarded as the same category. Therefore, we investigated only T3N0M0 and T3N1M0 patients to assess the contribution of the invaded organs to prognosis. Of the 5 patients with diaphragm invasion, there was no 3-year survivor, and the prognosis of patients with diaphragm invasion was very poor. The chest wall invasion was divided into three parts: parietal pleural invasion, subpleural tissue invasion and intercostal muscular invasion. The 5-year survival rates of patients with such invasion was 35%, 29% and 27%, respectively. The patients with Pancoast tumor had very poor prognosis. T3 factor was heterogeneous, and the prognosis of the patients with T3 tumor was various according to invaded organs.