Kocaman Gökhan, Kahya Yusuf, Köksoy Elif Berna, Elhan Atilla Halil, Yenigün Mustafa Bülent, Özkan Murat, Yüksel Cabir, Enön Serkan, Kayı Cangır Ayten, Kutlay Hakan, Akal Rıfat Murat
Department of Thoracic Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye.
Department of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2025 Mar 5;33(2):196-204. doi: 10.5606/tgkdc.dergisi.2025.27340. eCollection 2025 Apr.
BACKGROUND: This study aims to evaluate the prognostic factors for overall survival and progression-free survival in non-small cell lung cancer patients receiving platinum-based neoadjuvant therapy. METHODS: Between January 2008 and December 2022, a total of 163 patients with clinical Stages 2B, 3A, and 3B non-small cell lung cancer (148 males, 15 females; mean age: 59.5±7.8 years; range, 33 to 76 years) who underwent operation after neoadjuvant chemotherapy or chemoradiotherapy were retrospectively analyzed. The prognostic factors for overall survival and progression-free survival were evaluated. RESULTS: Higher major pathological response rate (p=0.021) and lower recurrence rate (p=0.009) were observed in patients with squamous cell carcinoma. The five-year progression-free survival rates were 56.9% and 34.1% for patients with squamous and non-squamous cell cancers (p=0.007) and the five-year overall survival rates were 68.2% and 52.2%, respectively (p=0.046). Squamous cell carcinoma histology was a favorable prognostic factor for both progression-free survival (p=0.008) and overall survival OS (p=0.031). CONCLUSION: Tumor histology may serve as a prognostic factor, helping to predict patient outcomes and guide the selection of neoadjuvant therapies before surgery. Currently, platinum-based chemotherapies are still used as a standard. Clinicians should consider tumor histology while deciding on neoadjuvant treatment.
背景:本研究旨在评估接受铂类新辅助治疗的非小细胞肺癌患者总生存期和无进展生存期的预后因素。 方法:回顾性分析2008年1月至2022年12月期间共163例临床分期为2B、3A和3B期的非小细胞肺癌患者(男性148例,女性15例;平均年龄:59.5±7.8岁;范围33至76岁),这些患者在新辅助化疗或放化疗后接受了手术。评估总生存期和无进展生存期的预后因素。 结果:鳞状细胞癌患者的主要病理缓解率较高(p = 0.021),复发率较低(p = 0.009)。鳞状细胞癌和非鳞状细胞癌患者的五年无进展生存率分别为56.9%和34.1%(p = 0.007),五年总生存率分别为68.2%和52.2%(p = 0.046)。鳞状细胞癌组织学是无进展生存期(p = 0.008)和总生存期(OS,p = 0.031)的有利预后因素。 结论:肿瘤组织学可作为一种预后因素,有助于预测患者预后并指导术前新辅助治疗的选择。目前,铂类化疗仍作为标准治疗方法。临床医生在决定新辅助治疗时应考虑肿瘤组织学。
Turk Gogus Kalp Damar Cerrahisi Derg. 2025-3-5
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