Prognostic value of the new International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society classification in stage IB lung adenocarcinoma.

Abstract

BACKGROUND:

Patients with pathological stage IB lung adenocarcinoma have a variable prognosis, even if received the same treatment. This study investigated the prognostic value of the new International Association for the Study of Lung Cancer, American Thoracic Society, and European Respiratory Society (IASLC/ATS/ERS) lung adenocarcinoma classification in resected stage IB lung adenocarcinoma.

METHODS:

We identified 276 patients with pathological stage IB adenocarcinoma who had undergone surgical resection at the Nanjing Chest Hospital between 2005 and 2010. The histological subtypes of all patients were classified according to the 2011 IASLC/ATS/ERS international multidisciplinary lung adenocarcinoma classification. Kaplan-Meier and Cox regression analyses were used to analyze the correlation between the IASLC/ATS/ERS classification and patients' prognosis.

RESULTS:

Two hundred and seventy-six patients with pathological stage IB adenocarcinoma had an 86.2% 5-year overall survival (OS) and 80.4% 5-year disease-free survival (DFS). Patients with micropapillary and solid predominant tumors had a significantly worse OS and DFS as compared to those with other subtypes predominant tumors (p = 0.003 and 0.001). Multivariate analysis revealed that the new classification was an independent prognostic factor for both OS and DFS of pathological stage IB adenocarcinoma (p = 0.009 and 0.003).

CONCLUSION:

Our study revealed that the new IASLC/ATS/ERS classification was an independent prognostic factor of pathological stage IB adenocarcinoma. This new classification is valuable of screening out high risk patients to receive postoperative adjuvant therapy.

• Authors: C-h Xu, W Wang, Y Wei, H-d Hu, J Zou, J Yan, L-k Yu, R-s Yang, Y Wang
• Journal: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology (Eur J Surg Oncol) Vol. 41 Issue 10 Pg. 1430-6 (Oct 2015) ISSN: 1532-2157 [Electronic] England
• PMID: 26123994 (Publication Type: Journal Article)
• Copyright: Copyright © 2015. Published by Elsevier Ltd.

Chemical References

• Vinblastine
• Paclitaxel
• Cisplatin
• Vinorelbine

Topics

• Adenocarcinoma (classification, pathology, therapy)
• Adult
• Aged
• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Chemotherapy, Adjuvant
• Cisplatin (administration & dosage)
• Cohort Studies
• Disease-Free Survival
• Female
• Humans
• Kaplan-Meier Estimate
• Lung (surgery)
• Lung Neoplasms (classification, pathology, therapy)
• Male
• Middle Aged
• Multivariate Analysis
• Neoplasm Staging
• Paclitaxel (administration & dosage)
• Prognosis
• Proportional Hazards Models
• Retrospective Studies
• Societies, Medical
• Vinblastine (administration & dosage, analogs & derivatives)
• Vinorelbine