The prognostic significance of multiple station N2 in patients with surgically resected stage IIIA N2 non-small cell lung cancer.
Mediastinal (N2) lymph node involvement is heterogeneous with huge variation in the extent and grouped together under stage IIIA. However, they showed a different survival even in the same stage. We tried to determine the prognostic implication of the multiple station N2 lymph node metastasis in stage IIIA N2 non-small cell lung cancer (NSCLC). The survival of stage IIIA N2 was analyzed according to the number of N2 station and their survival was compared with that of stage IIIB. In stage IIIA N2 NSCLC, multivariate analysis indicated that multiple station N2 was one of the independent prognostic factors for poor survival. The 5-yr survival of multiple station N2 IIIA (20.4%) was lower than that of single station N2 IIIA (33.8%) significantly (p=0.016). but when it was compared with that of stage IIIB (15.5%), there was no difference. Therefore, we suggest that multiple station N2 should be considered similar to stage IIIB disease with regard to predicting survival and accordingly should receive a new position in the TNM staging system.
Lee
Jin Gu
JG
Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
Lee
Chang Young
CY
Park
In Kyu
IK
Kim
Dae Joon
DJ
Cho
Sang Ho
SH
Kim
Kil Dong
KD
Chung
Kyung Young
KY