Second primary lung cancer in Flanders: frequency, clinical presentation, treatment and prognosis

Patient and tumour characteristics of 23 patients presenting with a second primary lung cancer were analysed and compared with 534 patients with radically resected stage 1 non-small cell lung cancer (NSCLC). None of these characteristics is associated with a higher occurrence rate for second primary...

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Veröffentlicht in:Lung cancer (Amsterdam, Netherlands) Netherlands), 1996-11, Vol.15 (3), p.281-295
Hauptverfasser: Van Meerbeeck, J., Weyler, J., Thibaut, A., Vansteenkiste, J., Aumann, J., Deneffe, G., Galdermans, D., Haelterman, M., Joos, G., Noppen, M., Pinson, P., Tasson, J., Van Den Eeckhout, A., Uydebrouck, M.
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container_end_page 295
container_issue 3
container_start_page 281
container_title Lung cancer (Amsterdam, Netherlands)
container_volume 15
creator Van Meerbeeck, J.
Weyler, J.
Thibaut, A.
Vansteenkiste, J.
Aumann, J.
Deneffe, G.
Galdermans, D.
Haelterman, M.
Joos, G.
Noppen, M.
Pinson, P.
Tasson, J.
Van Den Eeckhout, A.
Uydebrouck, M.
description Patient and tumour characteristics of 23 patients presenting with a second primary lung cancer were analysed and compared with 534 patients with radically resected stage 1 non-small cell lung cancer (NSCLC). None of these characteristics is associated with a higher occurrence rate for second primary lung cancer. Prognosis in the latter patients is significantly worse than after resection of a ‘solitary’ NSCLC: the median survival time (MST) after resection of the first tumour is 50 months; after diagnosis of the second tumour only 14 months. Surgically retreated patients have a prognosis that is similar to that after resection of a ‘solitary’ NSCLC. No separate independent prognostic factors responsible for this surivival difference could be isolated. Squamous histology and central location are associated with a longer recurrence free survival time. We conclude that the occurrence of a second primary lung cancer can not be predicted based on patient or tumour characteristics and that only surgical retreatment offers a chance of long survival in these patients.
doi_str_mv 10.1016/0169-5002(95)00593-5
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subjects Adult
Aged
Aged, 80 and over
Belgium - epidemiology
Biopsy
Carcinoma, Non-Small-Cell Lung - epidemiology
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - surgery
Female
Follow-Up Studies
Humans
Incidence
Lung Neoplasms - epidemiology
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Middle Aged
Neoplasm Staging
Neoplasms, Second Primary - epidemiology
Neoplasms, Second Primary - pathology
Neoplasms, Second Primary - surgery
Non-small cell lung cancer
Prognosis
Prospective Studies
Recurrence
Resection
Second primary lung cancer
Survival
Survival Rate
title Second primary lung cancer in Flanders: frequency, clinical presentation, treatment and prognosis
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