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Research ArticleClinical Studies

Consideration of the Optimal Surgical Procedure Based on the Risk of Recurrence in Clinical Stage 0 or IA Lung Adenocarcinoma

TOMOYOSHI TAKENAKA, TETSUZO TAGAWA, MIKIHIRO KOHNO, NAOKI HARATAKE, FUMIHIKO KINOSHITA, YUKI ONO, SHO WAKASU, YUKA OKU and MASAKI MORI
Anticancer Research February 2022, 42 (2) 1137-1142; DOI: https://doi.org/10.21873/anticanres.15577
TOMOYOSHI TAKENAKA
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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  • For correspondence: ttake@surg2.med.kyushu-u.ac.jp
TETSUZO TAGAWA
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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MIKIHIRO KOHNO
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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NAOKI HARATAKE
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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FUMIHIKO KINOSHITA
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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YUKI ONO
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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SHO WAKASU
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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YUKA OKU
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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MASAKI MORI
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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Abstract

Background/Aim: Sublobar resection is widely performed for early-stage non-small cell lung cancer in the clinical setting. This study evaluated the optimal surgical procedures of clinical stage 0 or IA adenocarcinoma from the perspective of recurrence. Patients and Methods: A total of 508 lung adenocarcinoma patients diagnosed as c-stage 0 or IA were retrospectively investigated. Results: The types of surgical procedures were lobectomy (n=328), segmentectomy (n=73), and wedge resection (n=107). Clinical T descriptors were cTis in 74, cT1mi in 68, cT1a in 94, cT1b in 181 and cT1c in 91 patients. Recurrence was observed in 46 cases (9%), including 3 (3.1%) with cT1a, 23 (12.7%) with cT1b and 20 (22.0%) with cT1c. The patients who received sublobar resection developed recurrence more often than the patients who received lobectomy among cT1b cases (10.1% vs. 21.4%) and cT1c cases (18.0% vs. 46.2%) (p=0.053 and p=0.023). Conclusion: The cT1b and cT1c cases should be considered for lobectomy to prevent recurrence.

Key Words:
  • Lung adenocarcinoma
  • TNM staging
  • surgical resection
  • recurrence
  • Received December 16, 2021.
  • Revision received January 6, 2022.
  • Accepted January 10, 2022.
  • Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 42 (2)
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Consideration of the Optimal Surgical Procedure Based on the Risk of Recurrence in Clinical Stage 0 or IA Lung Adenocarcinoma
TOMOYOSHI TAKENAKA, TETSUZO TAGAWA, MIKIHIRO KOHNO, NAOKI HARATAKE, FUMIHIKO KINOSHITA, YUKI ONO, SHO WAKASU, YUKA OKU, MASAKI MORI
Anticancer Research Feb 2022, 42 (2) 1137-1142; DOI: 10.21873/anticanres.15577

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Consideration of the Optimal Surgical Procedure Based on the Risk of Recurrence in Clinical Stage 0 or IA Lung Adenocarcinoma
TOMOYOSHI TAKENAKA, TETSUZO TAGAWA, MIKIHIRO KOHNO, NAOKI HARATAKE, FUMIHIKO KINOSHITA, YUKI ONO, SHO WAKASU, YUKA OKU, MASAKI MORI
Anticancer Research Feb 2022, 42 (2) 1137-1142; DOI: 10.21873/anticanres.15577
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