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Clinical outcomes and prognostic factors for surgically resected second primary lung cancer

 Mi Kyung Bae  ;  Chun Sung Byun  ;  Chang Young Lee  ;  Jin Gu Lee  ;  In Kyu Park  ;  Dae Joon Kim  ;  Kyung Young Chung 
 Thoracic and Cardiovascular Surgeon, Vol.60(8) : 525-532, 2012 
Journal Title
 Thoracic and Cardiovascular Surgeon 
Issue Date
Aged ; Female ; Humans ; Kaplan-Meier Estimate ; Lung Neoplasms/mortality ; Lung Neoplasms/pathology ; Lung Neoplasms/surgery* ; Male ; Middle Aged ; Multivariate Analysis ; Neoplasm Staging ; Neoplasms, Second Primary/mortality ; Neoplasms, Second Primary/pathology ; Neoplasms, Second Primary/surgery* ; Pneumonectomy*/adverse effects ; Pneumonectomy*/mortality ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Survival Rate ; Time Factors ; Treatment Outcome
lung cancer treatment (surgery medical) ; surgery ; complications ; outcomes (includes mortality morbidity)
Background : This study was designed to analyze the predictive factors for survival in second primary lung cancer patients following operation. Methods : A total of 1852 patients who underwent resection for primary lung cancer between January 1990 and December 2008 were reviewed, retrospectively. Results : Nineteen patients were treated for synchronous second primary lung cancer and 23 patients were treated for metachronous cancer. The overall 5-year survival rate for patients with synchronous second primary lung cancer was comparable to that of patients with single-lung cancer (51.4 vs. 48.7%, p = 0.755). The overall 5-year survival rate after the first tumor resection in patients with metachronous second primary lung cancer was significantly better than that of patients with single-lung cancer (85.4 vs. 48.7%, p = 0.003), but was not significantly different after the second tumor resection (77.0 vs. 48.7%, p = 0.057). Conclusion : Surgically resected second primary lung cancer had a survival comparable with single-lung cancer. Histologic concordance between the first and second tumors, and the pathological stage were important prognostic factors in second primary lung cancer.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dae Joon(김대준)
Bae, Mi Kyung(배미경)
Byun, Chun Sung(변천성)
Lee, Jin Gu(이진구)
Lee, Chang Young(이창영)
Chung, Kyung Young(정경영)
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