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肺裂发育是I期肺腺癌切除患者的一个预后因素。

Pulmonary fissure development is a prognostic factor for patients with resected stage I lung adenocarcinoma.

作者信息

Lee Seokkee, Lee Jin Gu, Lee Chang Young, Kim Dae Joon, Chung Kyung Young

机构信息

Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

J Surg Oncol. 2016 Dec;114(7):848-852. doi: 10.1002/jso.24438. Epub 2016 Sep 16.

DOI:10.1002/jso.24438
PMID:27633283
Abstract

BACKGROUND

Pulmonary fissure differs among patients, but the relationship between pulmonary fissure development and survival in patients with resected lung adenocarcinoma has not been evaluated. In this study, we analyzed the effect of fissure development on prognosis in patients with stage I lung adenocarcinoma.

METHODS

From January 2009 to December 2012, data, including pulmonary fissure development, were collected prospectively for all lung cancer, and this was a retrospective study of prospectively collected data. In total, 297 patients who had undergone a lobectomy and had pathologic stage I adenocarcinoma were analyzed. Patients were categorized into two groups based on fissure sum average (FSA) fissure development scores. Group A patients ranged from complete to 30% incomplete (0 ≤ FSA ≤ 1) while in Group B patients development was more than 30% incomplete (1 < FSA ≤ 3).

RESULTS

In univariate analysis, Group B had poorer overall 5 year survival than did Group A (83.1% vs. 96.5%, P = 0.015). Multivariate analysis revealed that the level of fissure development was a significant prognostic factor for overall survival (HR = 3.905, CI = 1.168-13.057, P = 0.027).

CONCLUSIONS

The overall survival of patients with resected stage I adenocarcinoma was adversely affected by incomplete fissure development. J. Surg. Oncol. 2016;114:848-852. © 2016 2016 Wiley Periodicals, Inc.

摘要

背景

肺裂在患者之间存在差异，但肺裂发育与肺腺癌切除患者生存率之间的关系尚未得到评估。在本研究中，我们分析了肺裂发育对Ⅰ期肺腺癌患者预后的影响。

方法

从2009年1月至2012年12月，前瞻性收集所有肺癌患者包括肺裂发育情况的数据，这是一项对前瞻性收集数据的回顾性研究。总共分析了297例行肺叶切除术且病理分期为Ⅰ期腺癌的患者。根据肺裂总和平均（FSA）肺裂发育评分将患者分为两组。A组患者的肺裂发育从完全到30%不完全（0≤FSA≤1），而B组患者的肺裂发育超过30%不完全（1＜FSA≤3）。

结果

单因素分析显示，B组的5年总生存率低于A组（83.1%对96.5%，P = 0.015）。多因素分析显示，肺裂发育程度是总生存的一个重要预后因素（HR = 3.905，CI = 1.168 - 13.057，P = 0.027）。

结论

肺裂发育不完全对Ⅰ期腺癌切除患者的总生存产生不利影响。《外科肿瘤学杂志》2016年；114：848 - 852。©2016 2016威利期刊公司

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