Background: In recent years, the tumor-stroma ratio (TSR) has been considered to a new and independent predictive variable for the prognosis of some kinds of neoplasms. The objective of this study was to assess the prognostic significance of the TSR in non-small cell lung cancer (NSCLC). Methods: A cohort of 261 NSCLC patients who underwent radical surgery of lung cancer were included in the present study. Two independent observers visually estimated the TSR on hematoxylin-eosin (H&E) stained tissue pathological slices. According to the proportion of stroma >= 50% or <50%, We separate the patients into two groups: those with stroma-poor and those with stroma-rich tumors. Results: Both univariate and multivariate analyses disclosed that the TSR was associated with overall survival (OS) [hazard ratio (HR), 1.741; 95% confidence intervals (CI), 1.040-2.913 and HR, 1.904; 95% CI, 1.132-3.202, respectively]. The HR values for disease-free survival (DFS) were 1.795 (95% CI, 1.073-3.005) and 2.034 (95% CI, 1.210-3.420). The OS and DFS of patients with stroma-poor tumors were better than those with stroma-rich tumors. Conclusions: These results demonstrated that the TSR is a new prognostic factor for NSCLC. Stromapoor tumors were associated with longer disease-free period and better prognosis than were stroma-rich tumors in NSCLC patients. The TSR may contribute to the development of individualized treatment for NSCLC in the future.
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外文
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出版当年[2017]版:
大类|4 区医学
小类|4 区呼吸系统
最新[2023]版:
大类|3 区医学
小类|4 区呼吸系统
第一作者:
第一作者机构:[1]Sun Yat Sen Univ, Dept Thorac Surg, Canc Ctr, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China;[2]Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Guangzhou 510060, Guangdong, Peoples R China;
通讯作者:
通讯机构:[1]Sun Yat Sen Univ, Dept Thorac Surg, Canc Ctr, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China;[2]Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Guangzhou 510060, Guangdong, Peoples R China;
推荐引用方式(GB/T 7714):
Xi Ke-Xing,Wen Ying-Sheng,Zhu Chong-Mei,et al.Tumor-stroma ratio (TSR) in non-small cell lung cancer (NSCLC) patients after lung resection is a prognostic factor for survival[J].JOURNAL OF THORACIC DISEASE.2017,9(10):4017-4026.doi:10.21037/jtd.2017.09.29.
APA:
Xi, Ke-Xing,Wen, Ying-Sheng,Zhu, Chong-Mei,Yu, Xiang-Yang,Qin, Rong-Qing...&Zhang, Lan-Jun.(2017).Tumor-stroma ratio (TSR) in non-small cell lung cancer (NSCLC) patients after lung resection is a prognostic factor for survival.JOURNAL OF THORACIC DISEASE,9,(10)
MLA:
Xi, Ke-Xing,et al."Tumor-stroma ratio (TSR) in non-small cell lung cancer (NSCLC) patients after lung resection is a prognostic factor for survival".JOURNAL OF THORACIC DISEASE 9..10(2017):4017-4026