Yıl: 2022 Cilt: 30 Sayı: 2 Sayfa Aralığı: 206 - 215 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2022.21303 İndeks Tarihi: 28-05-2023

The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience

Öz:
Background: This study aims to investigate long-term results related to N1 group metastases with respect to anatomical localization and many external parameters and to examine the effect of these parameters on prognosis in patients with in nonsmall cell lung cancer. Methods: Between January 2006 and May 2019, a total of 52 patients (44 males, 8 females; mean age: 59.9±9.5 years; range, 42 to 80 years) who underwent lobectomy due to primary lung malignancy were retrospectively analyzed. The N1 lymph nodes were divided into three anatomical groups as hilar, peribronchial, and intraparenchymal. Demographic features, tumor features, follow-up characteristics, and survival and diseasefree survival parameters were analyzed for each group. The results were also examined in terms of number of metastasis, number of metastatic levels, rate of metastasis, and histopathological type. Results: The five-year survival rate was 66.4% in the peribronchial group and 50% in the hilar group. The five-year disease-free survival rate was 45.7% in the peribronchial group and 37.5% in the hilar group. There was no statistically significant difference between the groups in terms of survival and disease-free survival for anatomical localization, number of metastasis, number of metastatic levels, rate of metastasis, and histopathological type (p>0.05 for all). Conclusion: The structure that would be formed by examining N1 in terms of parameters such as subtitle levels, number of metastasis, number of metastatic stations, rate of metastasis or combinations of these would have a more impact on the decisions in the follow-up and treatment process in this patient population.
Anahtar Kelime:

Küçük hücreli dışı akciğer kanserinde izole N1 lenf nodu metastazlarının prognoz üzerine etkileri: Tek merkez deneyimi

Öz:
Amaç: Bu çalışmada küçük hücreli dışı akciğer kanseri hastalarında N1 grubu metastazlarının uzun dönem sonuçları anatomik lokalizasyon ve birçok farklı parametre açısından incelendi ve bu parametrelerin prognoz üzerine etkisi araştırıldı. Çalışma planı: Ocak 2006-Mayıs 2019 tarihleri arasında primer akciğer kanseri nedeni ile lobektomi yapılan toplam 52 hasta (44 erkek, 8 kadın; ort. yaş: 59.9±9.5 yıl; dağılım, 42-80 yıl) retrospektif olarak incelendi. N1 lenf nodları hiler, peribronşiyal ve intraparankimal olmak üzere üç anatomik gruba ayrıldı. Her grup demografik özellikler, tümör özellikleri, takip özellikleri ve sağkalım ve hastalıksız sağkalım parametrelerine göre analiz edildi. Sonuçlar ayrıca metastaz sayısı, metastatik düzey sayısı, metastaz oranı ve histopatolojik tip açısından da incelendi. Bulgular: Beş yıllık sağkalım oranı peribronşiyal grupta %66.4 ve hiler grupta %50 idi. Peribronşiyal grupta beş yıllık hastalıksız sağkalım oranı %45.7 ve hiler grupta %37.5 idi. Anatomik lokalizasyon, metastaz sayısı, metastatik düzey sayısı, metastaz oranı ve histopatolojik tip grupları arasında sağkalım ve hastalıksız sağkalım süresi açısından istatistiksel olarak anlamlı bir fark yoktu (hepsi için p>0.05). Sonuç: Alt düzey, metastaz sayısı, metastatik istasyon sayısı, metastaz oranı veya bunların kombinasyonları gibi parametreler kullanılarak N1 incelenmesi ile oluşturulacak bir yapı bu hasta popülasyonunda takip ve tedavi kararlarında daha fazla etkiye sahip olacaktır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Fukui T, Kato K, Okasaka T, Kawaguchi K, Fukumoto K, Nakamura S, et al. Predictors for hilar/intrapulmonary lymph node metastasis in discrete type of clinical N1 non-small cell lung cancer. Gen Thorac Cardiovasc Surg 2017;65:640-5.
  • 2. Yasukawa M, Kawaguchi T, Kawai N, Tojo T, Taniguchi S. Prognostic significance of mode of nodal involvement in pulmonary pN1 squamous cell carcinoma. Kyobu Geka 2018;71:163-8.
  • 3. Nwogu CE, Groman A, Fahey D, Yendamuri S, Dexter E, Demmy TL, et al. Number of lymph nodes and metastatic lymph node ratio are associated with survival in lung cancer. Ann Thorac Surg 2012;93:1614-9.
  • 4. Nakao M, Yoshida J, Ishii G, Hishida T, Nishimura M, Nagai K. Prognostic impact of node involvement pattern in pulmonary pN1 squamous cell carcinoma patients. J Thorac Oncol 2010;5:504-9.
  • 5. Kang CH, Ra YJ, Kim YT, Jheon SH, Sung SW, Kim JH. The impact of multiple metastatic nodal stations on survival in patients with resectable N1 and N2 nonsmall-cell lung cancer. Ann Thorac Surg 2008;86:1092-7.
  • 6. Zhang J, Liu L, Wang G, Huang C, Chen Y, Zhang Y, et al. New perspective to evaluate N1 staging: The peripheral lymph node metastasis status of non-small cell lung cancer. Thorac Cancer 2019;10:2253-8.
  • 7. Maeshima AM, Tsuta K, Asamura H, Tsuda H. Prognostic implication of metastasis limited to segmental (level 13) and/or subsegmental (level 14) lymph nodes in patients with surgically resected nonsmall cell lung carcinoma and pathologic N1 lymph node status. Cancer 2012;118:4512-8.
  • 8. Riquet M, Pricopi C, Mangiameli G, Arame A, Badia A, Le Pimpec Barthes F. Pathologic N1 disease in lung cancer: The segmental and subsegmental lymph nodes. J Thorac Dis 2017;9:4286-90.
  • 9. Li ZM, Ding ZP, Luo QQ, Wu CX, Liao ML, Zhen Y, et al. Prognostic significance of the extent of lymph node involvement in stage II-N1 non-small cell lung cancer. Chest 2013;144:1253-60.
  • 10. Liu H, Yan T, Zhang T, Chen X, Wang Y, Du J. Proposal of a new nodal classification for operable non-small cell lung cancer based on the number of negative lymph nodes and the anatomical location of metastatic lymph nodes. Medicine (Baltimore) 2019;98:e15645.
  • 11. Asamura H, Chansky K, Crowley J, Goldstraw P, Rusch VW, Vansteenkiste JF, et al. The International association for the study of lung cancer lung cancer staging project: Proposals for the revision of the N descriptors in the forthcoming 8th edition of the TNM classification for lung cancer. J Thorac Oncol 2015;10:1675-84.
  • 12. Wang CL, Li Y, Yue DS, Zhang LM, Zhang ZF, Sun BS. Value of the metastatic lymph node ratio for predicting the prognosis of non-small-cell lung cancer patients. World J Surg 2012;36:455-62.
  • 13. Citak N, Aksoy Y, Isgörücü Ö, Obuz C, Acikmese B, Buyukkale S, et al. A comparison of the currently used nodal stage classification with the number of metastatic lymph nodes and the number of metastatic lymph node stations for non-small cell lung cancer; Which of these is the best prognostic factor? Zentralbl Chir 2020;145:565- 73.
  • 14. Saji H, Tsuboi M, Shimada Y, Kato Y, Yoshida K, Nomura M, et al. A proposal for combination of total number and anatomical location of involved lymph nodes for nodal classification in non-small cell lung cancer. Chest 2013;143:1618-25.
  • 15. Liu CY, Hung JJ, Wang BY, Hsu WH, Wu YC. Prognostic factors in resected pathological N1-stage II nonsmall cell lung cancer. Eur Respir J 2013;41:649-55.
  • 16. Wang X, Yan S, Lv C, Wang Y, Wang J, Li S, et al. Impact of omission of intrapulmonary lymph node retrieval on outcome evaluation of lung cancer patients without lymph node metastasis: A propensity score matching analysis. Clin Lung Cancer 2017;18:e411-e416.
  • 17. Rena O, Boldorini R, Papalia E, Turello D, Massera F, Davoli F, et al. Metastasis to subsegmental and segmental lymph nodes in patients resected for non-small cell lung cancer: Prognostic impact. Ann Thorac Surg 2014;97:987-92.
  • 18. Park S, Cho S, Yum SW, Kim K, Jheon S. Comprehensive analysis of metastatic N1 lymph nodes in completely resected non-small-cell lung cancer. Interact Cardiovasc Thorac Surg 2015;21:624-9.
  • 19. Demir A, Turna A, Kocaturk C, Gunluoglu MZ, Aydogmus U, Urer N, et al. Prognostic significance of surgical-pathologic N1 lymph node involvement in non-small cell lung cancer. Ann Thorac Surg 2009;87:1014-22.
  • 20. Eichhorn F, Klotz LV, Muley T, Kobinger S, Winter H, Eichhorn ME. Prognostic relevance of regional lymph-node distribution in patients with N1-positive non-small cell lung cancer: A retrospective single-center analysis. Lung Cancer 2019;138:95-101.
APA SEZER H, ELİÇORA A (2022). The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. , 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
Chicago SEZER Hüseyin Fatih,ELİÇORA Aykut The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. (2022): 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
MLA SEZER Hüseyin Fatih,ELİÇORA Aykut The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. , 2022, ss.206 - 215. 10.5606/tgkdc.dergisi.2022.21303
AMA SEZER H,ELİÇORA A The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. . 2022; 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
Vancouver SEZER H,ELİÇORA A The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. . 2022; 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
IEEE SEZER H,ELİÇORA A "The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience." , ss.206 - 215, 2022. 10.5606/tgkdc.dergisi.2022.21303
ISNAD SEZER, Hüseyin Fatih - ELİÇORA, Aykut. "The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience". (2022), 206-215. https://doi.org/10.5606/tgkdc.dergisi.2022.21303
APA SEZER H, ELİÇORA A (2022). The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 30(2), 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
Chicago SEZER Hüseyin Fatih,ELİÇORA Aykut The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi 30, no.2 (2022): 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
MLA SEZER Hüseyin Fatih,ELİÇORA Aykut The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.30, no.2, 2022, ss.206 - 215. 10.5606/tgkdc.dergisi.2022.21303
AMA SEZER H,ELİÇORA A The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2022; 30(2): 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
Vancouver SEZER H,ELİÇORA A The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2022; 30(2): 206 - 215. 10.5606/tgkdc.dergisi.2022.21303
IEEE SEZER H,ELİÇORA A "The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 30, ss.206 - 215, 2022. 10.5606/tgkdc.dergisi.2022.21303
ISNAD SEZER, Hüseyin Fatih - ELİÇORA, Aykut. "The impacts of isolated N1 lymph nodes metastasis on prognosis in non-small cell lung cancer: A single-center experience". Türk Göğüs Kalp Damar Cerrahisi Dergisi 30/2 (2022), 206-215. https://doi.org/10.5606/tgkdc.dergisi.2022.21303