EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER

Short-and long-term results of combined modality treatment with systematic (n=60) and selective (n=51) mediastinal lymphodissection were compared in 111 patients with IIIA(N2 ) stage non-small lung cancer taking into account the tumor site, histological pattern of the tumor and the extent of radical...

Full description

Saved in:
Bibliographic Details
Main Authors: E. O. Mantsyrev, A. V. Vazhenin, O. A. Gladkov, A. A. Lukin, M. N. Mironchenko, Ya. A. Gnatyuk, S. N. Timofeev
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2016-02-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/211
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849253146022379520
author E. O. Mantsyrev
A. V. Vazhenin
O. A. Gladkov
A. A. Lukin
M. N. Mironchenko
Ya. A. Gnatyuk
S. N. Timofeev
author_facet E. O. Mantsyrev
A. V. Vazhenin
O. A. Gladkov
A. A. Lukin
M. N. Mironchenko
Ya. A. Gnatyuk
S. N. Timofeev
author_sort E. O. Mantsyrev
collection DOAJ
description Short-and long-term results of combined modality treatment with systematic (n=60) and selective (n=51) mediastinal lymphodissection were compared in 111 patients with IIIA(N2 ) stage non-small lung cancer taking into account the tumor site, histological pattern of the tumor and the extent of radical surgery. The recurrence-free survival rate was significantly higher in patients with squamous cell lung cancer who underwent systematic lymphodissection than in patients who underwent selective lymphodissection. The median disease progression-free survival was 31 months and 14.5 months and the overall 5-year survival rates were 43,4 % and 16 %, respectively (p<0,05). A significant increase in recurrence-free and overall 5-year survival rates was observed in group I patients with cancer of the left lung as compared to that observed in group II patients. Selective mediastinal lymphodissection may be the operation of choice in patients with stage IIIA(N2 ) non-small cell lung cancer and in patients with cancer of the right lung who received combined modality treatment including adjuvant radiation therapy.
format Article
id doaj-art-57f35e7afda943ca885511b6329fca52
institution Kabale University
issn 1814-4861
2312-3168
language Russian
publishDate 2016-02-01
publisher Russian Academy of Sciences, Tomsk National Research Medical Center
record_format Article
series Сибирский онкологический журнал
spelling doaj-art-57f35e7afda943ca885511b6329fca522025-08-20T03:56:24ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682016-02-01051216211EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCERE. O. Mantsyrev0A. V. Vazhenin1O. A. Gladkov2A. A. Lukin3M. N. Mironchenko4Ya. A. Gnatyuk5S. N. Timofeev6Chelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskChelyabinsk Regional Clinical Oncology Center, ChelyabinskShort-and long-term results of combined modality treatment with systematic (n=60) and selective (n=51) mediastinal lymphodissection were compared in 111 patients with IIIA(N2 ) stage non-small lung cancer taking into account the tumor site, histological pattern of the tumor and the extent of radical surgery. The recurrence-free survival rate was significantly higher in patients with squamous cell lung cancer who underwent systematic lymphodissection than in patients who underwent selective lymphodissection. The median disease progression-free survival was 31 months and 14.5 months and the overall 5-year survival rates were 43,4 % and 16 %, respectively (p<0,05). A significant increase in recurrence-free and overall 5-year survival rates was observed in group I patients with cancer of the left lung as compared to that observed in group II patients. Selective mediastinal lymphodissection may be the operation of choice in patients with stage IIIA(N2 ) non-small cell lung cancer and in patients with cancer of the right lung who received combined modality treatment including adjuvant radiation therapy.https://www.siboncoj.ru/jour/article/view/211non-small cell lung cancerselective mediastinal lymphodissectionsystematic mediastinal lymphodissectioncombined modality treatment
spellingShingle E. O. Mantsyrev
A. V. Vazhenin
O. A. Gladkov
A. A. Lukin
M. N. Mironchenko
Ya. A. Gnatyuk
S. N. Timofeev
EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
Сибирский онкологический журнал
non-small cell lung cancer
selective mediastinal lymphodissection
systematic mediastinal lymphodissection
combined modality treatment
title EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
title_full EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
title_fullStr EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
title_full_unstemmed EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
title_short EFFECT OF THE EXTENT OF MEDIASTINAL LYMPHODISSECTION ON THE RESULTS OF COMBINED MODALITY TREATMENT FOR STAGE IIIA (N2 ) NON-SMALL CELL LUNG CANCER
title_sort effect of the extent of mediastinal lymphodissection on the results of combined modality treatment for stage iiia n2 non small cell lung cancer
topic non-small cell lung cancer
selective mediastinal lymphodissection
systematic mediastinal lymphodissection
combined modality treatment
url https://www.siboncoj.ru/jour/article/view/211
work_keys_str_mv AT eomantsyrev effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT avvazhenin effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT oagladkov effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT aalukin effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT mnmironchenko effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT yaagnatyuk effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer
AT sntimofeev effectoftheextentofmediastinallymphodissectionontheresultsofcombinedmodalitytreatmentforstageiiian2nonsmallcelllungcancer