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The risk factor of resected pathological T 1 N 0 M 0 lung cancer
74 265
266
The Post-operative survival un 1055 cases of Stage III Lung Cancer Llao,UL, wang,HL, shanghai Chest Hospital 200030 CHINA _ ~-A group of 1055 cases of stage III lung cancer treated with surgical resectlon,its 5 and loyr survival rates were of 22.1% and 15.3%. respectively.Itshows that a seleotive surgical treatment is available for partial stage III lwn& cancer,especiallyin cases with T3NOM0, its 5 and lo-yr survival rates rere of 41$ and a.g$.Though a worse pragnesla uas seen in H2 group,iCs 5 and 10-yr survival rates were 0r 15.,7$and 9.1$,.&twas still better than those treated with ether therapy.We t&ink, up to now surgery might indicate for N2 group with fewer number of lymphonode and metastasis to the lymphonodes other than paraoe8ophageal;subpulmonary ligamental and subaorta lymphonodea. thou& stage III SCLC had the weret long survival rate, its 3,5,10 year survival rates were of 8.6%,7.2$ and 7.246,respectively.it sounds not as bad as the report of past,and tell ~8 a stage III SCIC case aurvires up to 3 yra with disease-free,a cure of disease may be expected.The tendency of survival rate on adenocarcinoma were down gradually,even lo-yr survival rate was about half of 5 yr's,a potential micrometastasisin the blood and lympha stream should be considered.
The
Risk Factor of Resatcd
Hironori
Tanaka * ,
Prof. Akira *
**Second
Fifty
Txenty-nine patients with apical invading lung tamer were review& The histological classificatim of the tmor was squa~~~~ cell mincm in 12, admocarcima in 7, large cell car&ma in 6, m cell camirma in 3 and anal1 cell carcinoma in 1. lhe tmr oxupied the anterior portian W of the lung apex in 4. the middle portion W in 1, the pxterior pxt.ion [PI in 15. ard the entire apt Crl in 9. Twenty&i&s miment en bloc reset tim of the apical chest wall and the u&lying luog by different appmche~ which here anterior, usual p3sterolateral. aml hook according to the location of tbz lesion. Ths anterior mcach was obtained by nedian sternotcqy, anterior intermstal thomcotcqv, and half cervical collared incision In lmk app’cach a skin incision was extmckxl fran C7 anteriorly amnd the tmk along the scawla to the mid-clavicular line above the teat. Nimz~tients were opetated on by the anterior apprmch, 5 by the pxtemlateral appmch, sod 6 by the ti apprcach. The anterior apmch wassuited for lesions in [A3, and the tmk am-each fcr lesims in [PI. Nineteen patients survived cqeration. Nm of the nine mtients treated by irradiatimlme survived for 2 years or lager whereas 28.5%of these whowere qmated on survived for 5 years or Imger(P
four
Niwa **
ten years, from one
types were
31
of
,
Dr.
Surgical
Lung Cancer
Yosuke
Yamakawa **
718,
two
Higashi
General
Hospital,
University
Nagoya,
Medical
T I NO M O lung cancer cases were
Surgery of
Nagoya
City
University
Japan
Shingo
Schwl
rcscetcd at
Medical
cases involved adenocarcinoma,
had
year
males.
thirteen
survival
rate,
Reeurrcnt
and 5 squamous cell carcinoma.
tumor.
81%.
The
The
histological
adcnasquamous ccl1
tive year case
types uwc
survival rate
subjects
died
or
12 adenoearcinoma
risk factor was pathologically examined.
subtype, small vessel invasion and nuclear
1980 to 1989, a total underwent
small-
cancer
mitosis et
al were
not
1.6~
however
showed invasion into with
subpleural
seven casa tbc
among
subplcura.
the
twelve
Pathological
invasion have a high-risk
of
Nuclear
DNA
content is being examined.
recurrent
adenocarcinoma
T , N ,, M D ad&ocarcinoma
recurrence.
cell carcinoma cases did not detect signiticant risks.
(2cm
Recurret
squamous
of patients
lesions
were analised
the histology, 1 and
,
and 2)
1)
(30.4%)
stage,
60 patients
evaluated. (77.5%)
peripheral
type
had
lesions
lung
1.5cm or
(69.6%) had lesions and pathological type lung cancer
prognostic lymph
lung
115 (16.7%)
The clinical peripheral
and postoperative
primary
cases,
80 patients
.
small-sized
were
histologic
cell
advanced
1)
lung
type,
, 83.8%
factors
such as
node involvement,
30 patients
of the group
in group
(85.7%)
2 were
and of the
detected
in
of adenocarcinoma
. Group
2 included
2 patients
were
16 patients
(13.9%
There
There
1, and
2)
were of
)
of
were 1 case of StagelO A and 1 case of
10 cases of stage l0 A and 3 cases of stage
2.
The 5-year 1)
the proportion
(group
carcinoma.
lung cancer.
N in group
groups
School Ando, M.D.
of mass surveys.
In the
(group
in diameter)
(group with
involvement
Stage N
Lesions
with
In these
35 patients
the pathologic
91.4% (group small
or less
(group
features
group
(2cm or less in
Cancer
of 688 patients
treatment.
Of these,
2cm in diameter
the course signifiint.
surgical
sized
lesions.
pleural
Sized
Lung
M.D.
less in diameter
ca., 2
Seventeen
histological
lnvolvcd
fern&s.
1Y squamous cell
and one carcinoid
recurrence.
cancer
Type
ll , Okayama University Medical ; Nobuyoshi Shimizu. M.D. ; Hideo
M.D.
Teramoto,
From
the
for Small
Peripheral
of Surgery
Ichiba,
Shigeru
School. over
Trearment
Diameter)
,
1979 to 1W.
ca., one small cell ca
experienced
Nagoya
of Surgery, Nagoya City
pathological
Second Departmet
Histological
Pathological T I NO MO
Hiroshi
Department
of Surgery.
Department
Forty
Dr.
Masaoka **
Department
was
NiwaH, MasackaA, YamkawaY, Iimka M. Secmd department of surgery, h City Liniversity, Nagoya,Japan.
268
267
Dr.
Surgical Therapy for Apical Invading Lmg Cancer by Different AAccording to Tutor lmtim
survival
,
rate after
64.3% (group
was significant.
2)
operation
,
and
the
in each group difference
was 87.7%
between
two
266
The Post-operative survival un 1055 cases of Stage III Lung Cancer Llao,UL, wang,HL, shanghai Chest Hospital 200030 CHINA _ ~-A group of 1055 cases of stage III lung cancer treated with surgical resectlon,its 5 and loyr survival rates were of 22.1% and 15.3%. respectively.Itshows that a seleotive surgical treatment is available for partial stage III lwn& cancer,especiallyin cases with T3NOM0, its 5 and lo-yr survival rates rere of 41$ and a.g$.Though a worse pragnesla uas seen in H2 group,iCs 5 and 10-yr survival rates were 0r 15.,7$and 9.1$,.&twas still better than those treated with ether therapy.We t&ink, up to now surgery might indicate for N2 group with fewer number of lymphonode and metastasis to the lymphonodes other than paraoe8ophageal;subpulmonary ligamental and subaorta lymphonodea. thou& stage III SCLC had the weret long survival rate, its 3,5,10 year survival rates were of 8.6%,7.2$ and 7.246,respectively.it sounds not as bad as the report of past,and tell ~8 a stage III SCIC case aurvires up to 3 yra with disease-free,a cure of disease may be expected.The tendency of survival rate on adenocarcinoma were down gradually,even lo-yr survival rate was about half of 5 yr's,a potential micrometastasisin the blood and lympha stream should be considered.
The
Risk Factor of Resatcd
Hironori
Tanaka * ,
Prof. Akira *
**Second
Fifty
Txenty-nine patients with apical invading lung tamer were review& The histological classificatim of the tmor was squa~~~~ cell mincm in 12, admocarcima in 7, large cell car&ma in 6, m cell camirma in 3 and anal1 cell carcinoma in 1. lhe tmr oxupied the anterior portian W of the lung apex in 4. the middle portion W in 1, the pxterior pxt.ion [PI in 15. ard the entire apt Crl in 9. Twenty&i&s miment en bloc reset tim of the apical chest wall and the u&lying luog by different appmche~ which here anterior, usual p3sterolateral. aml hook according to the location of tbz lesion. Ths anterior mcach was obtained by nedian sternotcqy, anterior intermstal thomcotcqv, and half cervical collared incision In lmk app’cach a skin incision was extmckxl fran C7 anteriorly amnd the tmk along the scawla to the mid-clavicular line above the teat. Nimz~tients were opetated on by the anterior apprmch, 5 by the pxtemlateral appmch, sod 6 by the ti apprcach. The anterior apmch wassuited for lesions in [A3, and the tmk am-each fcr lesims in [PI. Nineteen patients survived cqeration. Nm of the nine mtients treated by irradiatimlme survived for 2 years or lager whereas 28.5%of these whowere qmated on survived for 5 years or Imger(P
four
Niwa **
ten years, from one
types were
31
of
,
Dr.
Surgical
Lung Cancer
Yosuke
Yamakawa **
718,
two
Higashi
General
Hospital,
University
Nagoya,
Medical
T I NO M O lung cancer cases were
Surgery of
Nagoya
City
University
Japan
Shingo
Schwl
rcscetcd at
Medical
cases involved adenocarcinoma,
had
year
males.
thirteen
survival
rate,
Reeurrcnt
and 5 squamous cell carcinoma.
tumor.
81%.
The
The
histological
adcnasquamous ccl1
tive year case
types uwc
survival rate
subjects
died
or
12 adenoearcinoma
risk factor was pathologically examined.
subtype, small vessel invasion and nuclear
1980 to 1989, a total underwent
small-
cancer
mitosis et
al were
not
1.6~
however
showed invasion into with
subpleural
seven casa tbc
among
subplcura.
the
twelve
Pathological
invasion have a high-risk
of
Nuclear
DNA
content is being examined.
recurrent
adenocarcinoma
T , N ,, M D ad&ocarcinoma
recurrence.
cell carcinoma cases did not detect signiticant risks.
(2cm
Recurret
squamous
of patients
lesions
were analised
the histology, 1 and
,
and 2)
1)
(30.4%)
stage,
60 patients
evaluated. (77.5%)
peripheral
type
had
lesions
lung
1.5cm or
(69.6%) had lesions and pathological type lung cancer
prognostic lymph
lung
115 (16.7%)
The clinical peripheral
and postoperative
primary
cases,
80 patients
.
small-sized
were
histologic
cell
advanced
1)
lung
type,
, 83.8%
factors
such as
node involvement,
30 patients
of the group
in group
(85.7%)
2 were
and of the
detected
in
of adenocarcinoma
. Group
2 included
2 patients
were
16 patients
(13.9%
There
There
1, and
2)
were of
)
of
were 1 case of StagelO A and 1 case of
10 cases of stage l0 A and 3 cases of stage
2.
The 5-year 1)
the proportion
(group
carcinoma.
lung cancer.
N in group
groups
School Ando, M.D.
of mass surveys.
In the
(group
in diameter)
(group with
involvement
Stage N
Lesions
with
In these
35 patients
the pathologic
91.4% (group small
or less
(group
features
group
(2cm or less in
Cancer
of 688 patients
treatment.
Of these,
2cm in diameter
the course signifiint.
surgical
sized
lesions.
pleural
Sized
Lung
M.D.
less in diameter
ca., 2
Seventeen
histological
lnvolvcd
fern&s.
1Y squamous cell
and one carcinoid
recurrence.
cancer
Type
ll , Okayama University Medical ; Nobuyoshi Shimizu. M.D. ; Hideo
M.D.
Teramoto,
From
the
for Small
Peripheral
of Surgery
Ichiba,
Shigeru
School. over
Trearment
Diameter)
,
1979 to 1W.
ca., one small cell ca
experienced
Nagoya
of Surgery, Nagoya City
pathological
Second Departmet
Histological
Pathological T I NO MO
Hiroshi
Department
of Surgery.
Department
Forty
Dr.
Masaoka **
Department
was
NiwaH, MasackaA, YamkawaY, Iimka M. Secmd department of surgery, h City Liniversity, Nagoya,Japan.
268
267
Dr.
Surgical Therapy for Apical Invading Lmg Cancer by Different AAccording to Tutor lmtim
survival
,
rate after
64.3% (group
was significant.
2)
operation
,
and
the
in each group difference
was 87.7%
between
two