دورية أكاديمية
Prognostic significance and survival benefits of postoperative adjuvant chemotherapy in patients with stage IA lung adenocarcinoma with non-predominant micropapillary components
العنوان: | Prognostic significance and survival benefits of postoperative adjuvant chemotherapy in patients with stage IA lung adenocarcinoma with non-predominant micropapillary components |
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المؤلفون: | Rongyang Li, Jianhao Qiu, Zhenyi Li, Haiming Li, Zhanpeng Tang, Wenhao Yu, Hui Tian, Zhenguo Sun |
المصدر: | World Journal of Surgical Oncology, Vol 22, Iss 1, Pp 1-13 (2024) |
بيانات النشر: | BMC, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Surgery LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | Lung adenocarcinoma, Micropapillary component, Adjuvant chemotherapy, Prognosis, Survival, Surgery, RD1-811, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Abstract Background The prognostic significance of adjuvant chemotherapy (ACT) for patients with stage IA micropapillary non-predominant (MPNP) lung adenocarcinoma (LUAD) remains unknown. This study aimed to investigate the effects of postoperative ACT in patients with stage IA MPNP-LUAD. Methods A total of 149 patients with pathological stage IA MPNP-LUAD who underwent surgery at our center were retrospectively analyzed. Propensity score matching (PSM) analysis was conducted to reduce potential selection bias. Kaplan–Meier analyses were used to assess the impact of ACT on recurrence-free survival (RFS), overall survival (OS), and disease-specific survival (DSS). Subgroup analyses were performed for the survival outcomes based on the percentage of micropapillary components. Cox proportional hazards regression analyses were applied to identify risk factors associated with survival. Results The receipt or non-receipt of postoperative ACT had no significant effect on RFS, OS, and DSS among all enrolled patients with stage IA MPNP-LUAD (P > 0.05). For patients with a micropapillary component > 5%, the 5-year rates of RFS, OS, and DSS were significantly higher in the ACT group compared to the observation group, both before and after PSM (P 0.05). The resection range (HR = 0.071; 95% CI: 0.020–0.251; P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1477-7819 |
Relation: | https://doaj.org/toc/1477-7819 |
DOI: | 10.1186/s12957-024-03303-x |
URL الوصول: | https://doaj.org/article/79b7b64a25fd44a4be136ea971040da6 |
رقم الأكسشن: | edsdoj.79b7b64a25fd44a4be136ea971040da6 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 14777819 |
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DOI: | 10.1186/s12957-024-03303-x |