Evaluation of prognostic factors on survival in non-small-cell lung cancer patients treated with postoperative radiotherapy

Yıl 2009, Cilt: 24 Sayı: 2, 53 - 64, 01.03.2009

Süreyya Sarıhan Cengiz Gebitekin Ahmet Sami Bayram İlker Ercan Türkan Evrensel Elif Ülker Akyıldız

Öz

OBJECTIVES To investigate the prognostic factors on survival in nonsmall-cell lung cancer patients treated with postoperative radiotherapy. METHODS Sixty-five patients treated with a median dose of 59 Gy (50-66.6 Gy) between October 1995 and January 2005 were included in the study. Clinical and categorical variables were analyzed. RESULTS On multivariate analysis, presence of clinical N2 and brain metastasis at first relapse and absence of chemotherapy (p=0.02, p=0.004, p=0.004) had a negative impact on overall survival, while presence of pathological nodal involvement and absence of chemotherapy (p=0.02, p=0.04) were effective on disease-free survival. Regarding categorical variables, type of resection was found related with positive margin and N1, right-sided location with N1-e and N2, and systematic nodal dissection with N1. The number of involved lymph nodes was found related with N2 skip metastasis and involved N1-10 was related with N1-e. CONCLUSION Presence of metastatic lymph nodes was found to be a poor prognostic factor and delivery of chemotherapy was seen to positively affect overall and disease-free survival rates.

Anahtar Kelimeler

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Postoperatif radyoterapi uygulanan küçük hücreli dışı akciğer kanserli olgularda sağkalım üzerine etkili prognostik faktörlerin değerlendirilmesi

Öz

AMAÇ Postoperatif radyoterapi alan küçük hücreli dışı akciğer kanserli hastalarda sağkalım üzerindeki prognostik faktörler araştırıldı. GEREÇ VE YÖNTEM Ekim 1995-Ocak 2005 arasında 65 hasta ortanca 59 Gy (50-66.6 Gy) ile tedavi edildi. Klinik ve kategorik değişkenler incelendi. BULGULAR Çok değişkenli analizde; klinik N2 tutulumu, ilk nüksün beyin metastazı olması ve kemoterapi yokluğu (p=0.02, p=0.004, p=0.004) genel sağkalımı; patolojik lenf nodu tutulumu ve kemoterapi yokluğu (p=0.02, p=0.04) hastalıksız sağkalımı olumsuz etkilemiştir. Kategorik analizde; rezeksiyon tipi, pozitif cerrahi sınır ve N1 ile, sağ yerleşim, N1-e ve N2 ile sistematik nodal diseksiyon N1 ile ilişkili bulundu. Tutulmuş lenf nodu sayısı, N2 skip metastaz ile ve N1-10 tutulumu N1-e ile ilişkili bulundu. SONUÇ Metastatik lenf nodu varlığı kötü prognostik faktör olarak bulunmuş ve kemoterapi verilmesinin genel ve hastalıksız sağkalım oranlarını olumlu etkilediği görülmüştür.

Anahtar Kelimeler

Küçük hücreli dıflı akciğer kanseri, postoperatifradyoterapi, prognostik faktörler, sağkalım

Kaynakça

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