Assessment of the Role of Surgery for Control of Lung Cancer
- 31 October 1977
- journal article
- Published by Elsevier BV in The Annals of Thoracic Surgery
- Vol. 24 (4), 365-373
- https://doi.org/10.1016/s0003-4975(10)63416-9
Abstract
When morphologically stratified, the classification of patients according to surgical stage provides an objective basis for evaluating the results of surgical treatment. In a review of 794 patients according to surgical staging criteria, the data supported concepts regarding differences in the behavior of each cell type as well as major differences in survival between each stage of disease. The overall cumulative five-year survival was 37% for squamous cell carcinoma, 27% for adenocarcinoma, and 27% for undifferentiated large cell carcinoma. Fewer than 1% of patients with undifferentiated small cell carcinoma survived. Survival for patients with surgical Stage I disease was 53%, for Stage II 29%, and for Stage III 16%. The results of surgical treatment for patients with limited disease extent are much better than is generally realized. Fifty to 60% of such patients in this series survived five years. Survival studies by surgical stage permit resonable estimates of the presence of occult metastatic disease and supply insights necessary to the design and appropriate selection of adjunctive therapeutic programs.Keywords
This publication has 7 references indexed in Scilit:
- Carcinoma of the Lung: Results of Treatment over Ten YearsThe Annals of Thoracic Surgery, 1976
- Immunodeficiency in Cancer and the Importance of Immune Evaluation of the Cancer PatientMedical Clinics of North America, 1976
- Primary Cancer of the Lung: A 42-Year ExperienceThe Annals of Thoracic Surgery, 1975
- A SYSTEM FOR THE CLINICAL STAGING OF LUNG CANCERAmerican Journal of Roentgenology, 1974
- A computer program for estimating survival functions from the life tableComputer Programs in Biomedicine, 1970
- Estimating survival functions from the life tableJournal of Chronic Diseases, 1969
- SUCCESSFUL REMOVAL OF AN ENTIRE LUNG FOR CARCINOMA OF THE BRONCHUSPublished by American Medical Association (AMA) ,1933