机构:[1]Department of Thoracic Surgery, Nanjing Medical University Affiliated Cancer Hospital, No.42, Baiziting, Xuanwu District, Nanjing 210009, Jiangsu, China[2]Department of Thoracic Surgery, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research, Nanjing 210009, China[3]Jiangsu Key Laboratory of Molecular and Translational Cancer Research, Cancer Institute of Jiangsu Province, Nanjing 210009, China[4]Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai 200030, China[5]Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an 710038, China[6]Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China四川大学华西医院[7]Department of Thoracic Surgery, Chinese People’s Liberation Army General Hospital, Beijing 1000853, China[8]Department of Thoracic Surgery, First Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310000, China浙江大学医学院附属第一医院[9]Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China华中科技大学同济医学院附属同济医院[10]Department of Thoracic Surgery, Henan Cancer Hospital, Zhengzhou 450008, China河南省肿瘤医院[11]Department of Thoracic Surgery, Tianjin Chest Hospital, Tianjin 300051, China[12]Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing 100029, China[13]Medical Affairs, Linkdoc Technology Co, Ltd, Beijing 100080, China
Purpose N2 lymph-node metastases occur in approximately 6-17% of the patients with T1-2 non-small cell lung cancer (NSCLC). However, the clinical characteristics of N2 patients are not fully understood. Methods This retrospective, multi-center analysis included T1 NSCLC patients receiving surgical resection during a period from Jan 2nd, 2014 to Dec 27th, 2017. The diagnosis was pathologically verified in all cases. Univariate and multivariate logistic regression analyses were conducted to analyze the factors that are associated with pN2 lymph-node metastases. Results A total of 10,885 patients (48.4% men; 84.7% adenocarcinoma) were included in the analysis. The mean age was 59.0 +/- 9.9 years. The mean tumor size was 1.8 +/- 0.8 cm. Of the patients, 3260 (29.9%) were smokers or ex-smokers. Lymph-node metastases were verified in 1808 (16.6%) patients, and 1167 (10.7%) patients had N2 lymph-node metastases. The multivariate analyses indicated that larger tumor size, lower differentiation, CEA level >= 5 ng/mL, vascular invasion (+), and pleural involvement (+) were associated with higher percentages of N2 lymph-node metastases (p < 0.001 for all). Conclusions This study demonstrated the significant association between N2 lymph-node metastases and tumor size and differentiation, CEA levels, and status of vascular invasion and pleural involvement.
第一作者机构:[1]Department of Thoracic Surgery, Nanjing Medical University Affiliated Cancer Hospital, No.42, Baiziting, Xuanwu District, Nanjing 210009, Jiangsu, China[2]Department of Thoracic Surgery, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research, Nanjing 210009, China[3]Jiangsu Key Laboratory of Molecular and Translational Cancer Research, Cancer Institute of Jiangsu Province, Nanjing 210009, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Thoracic Surgery, Nanjing Medical University Affiliated Cancer Hospital, No.42, Baiziting, Xuanwu District, Nanjing 210009, Jiangsu, China[2]Department of Thoracic Surgery, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research, Nanjing 210009, China[3]Jiangsu Key Laboratory of Molecular and Translational Cancer Research, Cancer Institute of Jiangsu Province, Nanjing 210009, China
推荐引用方式(GB/T 7714):
Chen Bing,Xia Wenjie,Wang Zhongqiu,et al.Risk analyses of N2 lymph-node metastases in patients with T1 non-small cell lung cancer: a multi-center real-world observational study in China[J].JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY.2019,145(11):2771-2777.doi:10.1007/s00432-019-03006-x.
APA:
Chen, Bing,Xia, Wenjie,Wang, Zhongqiu,Zhao, Heng,Li, Xiaofei...&Jiang, Feng.(2019).Risk analyses of N2 lymph-node metastases in patients with T1 non-small cell lung cancer: a multi-center real-world observational study in China.JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY,145,(11)
MLA:
Chen, Bing,et al."Risk analyses of N2 lymph-node metastases in patients with T1 non-small cell lung cancer: a multi-center real-world observational study in China".JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY 145..11(2019):2771-2777