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The role of surgical treatment in second primary lung cancer

Title
The role of surgical treatment in second primary lung cancer
Authors
Mi Kyung Bae;Chun Sung Byun;Kyung Young Chung;Dae Joon Kim;In Kyu Park;Jin Gu Lee;Chang Young Lee
Issue Date
2011
Journal Title
Annals of Thoracic Surgery
ISSN
0003-4975
Citation
Annals of Thoracic Surgery, Vol.92(1) : 256~262, 2011
Abstract
BACKGROUND: This study was designed to assess the treatment of patients in whom a second primary lung cancer developed after the resection of primary lung cancer. METHODS: Between January 1990 and December 2008, 1852 patients underwent complete resection for primary lung cancer in our institution. Of these individuals, patients who had been identified as having a second primary lung cancer by December 2009 were selected for this study using the criteria proposed by Martini and Melamed. RESULTS: Of 1852 patients, a second primary lung cancer developed in 40 (2.2%) during the follow-up period. The overall 5-year and 10-year survival rates after the resection of the first tumor were 78.3% and 39.9%, respectively. The overall 5-year survival rate from the time of detection of the second primary lung cancer was 47.8%, and the 5-year survival rate of the patients who underwent resection of the second tumor was 77.0%. The patients who underwent sublobar resection had comparable overall survival and disease-free survival compared with the patients who underwent anatomic resection. Additionally, the patients who underwent sublobar resection had a better operative outcome. CONCLUSIONS: Surgical resection is feasible and effective in the management of second primary lung cancer, and sublobar resection may be adequate. Long-term surveillance of more than 5 years is essential for early detection to increase the chance of resection of a second primary lung cancer.
URI
http://www.sciencedirect.com/science/article/pii/S0003497511004589

http://ir.ymlib.yonsei.ac.kr/handle/22282913/93567
DOI
10.1016/j.athoracsur.2011.02.034
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Thoracic & Cardiovascular Surgery
Yonsei Authors
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