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Histopathologic prognostic factors in adenocarcinomas of the peripheral lung less than 2 CM in diameter
Author(s) -
Takise Atsushi,
Kodama Tetsuro,
Shimosato Yukio,
Watanabe Shaw,
Suemasu Keiichi
Publication year - 1988
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19880515)61:10<2083::aid-cncr2820611025>3.0.co;2-u
Subject(s) - medicine , mitotic index , adenocarcinoma , lymph node , stage (stratigraphy) , pathology , lung , proportional hazards model , log rank test , lung cancer , survival analysis , gastroenterology , cancer , mitosis , paleontology , biology , microbiology and biotechnology
The histologic prognostic factors of pulmonary adenocarcinomas of the lung less than 2 cm in diameter were analyzed in 75 patients who had undergone surgical resection. The pathologic stage, lymph node involvement, and pleural involvement were found to be the major determinants of prognosis ( P < 0.01). In addition, other single factors, such as tumor differentiation ( P < 0.01), vascular invasion ( P < 0.01), the degree of collagenization in the fibrotic focus ( P < 0.01), the standard deviation (SD) of nuclear areas ( P < 0.05), and mitotic index ( P < 0.05) correlated significantly with prognosis by the log‐rank test on the Kaplan‐Meier survival curves of these factors. Patients with dense infiltration of “T‐zone histiocytes” survived significantly longer than those with less infiltration ( P < 0.05). Cox's proportional hazard general linear model analysis showed the importance of factors, such as lymph node or pleural involvement and the SD of nuclear area, when the pathologic stage was excluded, and of the mitotic index when all four factors were excluded to emphasize the cellular characteristics. It is possible to predict the postoperative prognosis of patients with small pulmonary adenocarcinoma more precisely by combination of the above histopathologic factors.