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The Annals of Thoracic Surgery, Vol 38, 331-338, Copyright © 1984 by The Society of Thoracic Surgeons
PC Pairolero, DE Williams, EJ Bergstralh, JM Piehler, PE Bernatz and WS Payne
Three hundred forty-six patients with post-surgical non-small cell Stage I
bronchogenic carcinoma were followed from 5.0 to 10.8 years (median, 7.0
years). Recurrent cancer developed in 135 patients (39%). Seventy-five
recurrences were nonregional metastases (55.6%); 35 (25.9%), a subsequent
primary lung cancer; and 25 (18.5%), local recurrence only. The rate of
recurrent lung cancer decreased from 15.0 patients per 100 patient-years
the first postoperative year to 2.3 the seventh and subsequent years. The
rate of recurrence varied among the three different types of recurrent
cancer. Five years after pulmonary resection, 70.0% of patients with T1 N0
neoplasms had no evidence of recurrence compared with 58.2% of patients
with T2 N0 tumors (p = 0.012) and only 31.8% of patients with T1 N1
neoplasms (p less than 0.001). There was no significant difference in
overall rate of recurrence among the various cell types. Currently, 174
patients are alive. Lung cancer survival (Kaplan-Meier) was 69.1% at 5
years and 61.9% at 9 years. At 2 years following detection of subsequent
lung cancer, 51.8% of patients with subsequent primary lung cancer had
survived lung cancer compared with 23.4% for those with local recurrence
and only 8.9% for those with nonregional metastases.
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Postsurgical stage I bronchogenic carcinoma: morbid implications of recurrent disease
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