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The Annals of Thoracic Surgery, Vol 46, 178-181, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Results of surgical treatment of patients with T3 non-small cell lung cancer

H Nakahashi, K Yasumoto, T Ishida, A Nagashima, T Nishino, T Oka and K Sugimachi
Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Sixty-one patients with T3 non-small cell lung cancer were surgically treated in our department from February, 1974, through April, 1986. The overall 5-year survival, excluding patients with pleurisy, was 23%, and the 5-year survival for patients undergoing complete resection and incomplete resection was 42% and 10%, respectively (p less than 0.01). Survival in patients with T3 N0 and T3 N1 or N2 disease was 33% and 0 at 5 years, respectively. The prognosis for patients with pleurisy was poor, and all died within 3 years. Therefore, complete lung resection should be done in patients with T3 N0 non-small cell lung cancer if complete resection is expected. Long-term survival is less likely for patients with lymph node metastases if complete resection cannot be performed.

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