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Related Experiment Videos

Lung cancer following previous extrapulmonary malignancy.

G Massard1, X Ducrocq, M Beaufigeau

  • 1Service de Chirurgie Thoracique, Hôpitaux Universitaires de Strasbourg, F-67091, Strasbourg, France. gilbert.massard@chru-strasbourg.fr

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|October 29, 2000
PubMed
Summary

Surgical resection of lung cancer is a viable option for patients with a history of extrapulmonary malignancies, showing no increased risk compared to the general population. Survival rates align with established ranges across different stages.

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Area of Science:

  • Oncology
  • Thoracic Surgery
  • Cancer Prognostics

Background:

  • Previous studies indicated a poor prognosis for operable lung cancer in patients with prior head and neck malignancies.
  • This study investigates the prognosis of lung cancer in patients with a history of extrapulmonary and extracervical malignancies.

Purpose of the Study:

  • To evaluate the prognosis of lung cancer following complete resection in patients with a history of extrapulmonary and extracervical malignancies.

Main Methods:

  • A cohort of 55 patients (40 males, 15 females; mean age 64.4 years) with prior malignancies underwent complete lung cancer resection.
  • Previous malignancies were categorized as tobacco-induced (n=15), hormone-dependent (n=18), or miscellaneous (n=22).
  • Patients were staged post-resection: Stage I (n=25), Stage II (n=13), and Stage IIIA (n=17).

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Main Results:

  • Early perioperative mortality was 3.6%, with additional cardiovascular deaths within two months.
  • Five-year survival rates, adjusted for early deaths, were: Stage I (51.1%), Stage II (33.3%), and Stage IIIA (19.0%).
  • No significant difference in stage distribution or five-year survival was observed based on the type of previous malignancy (tobacco-induced, hormone-dependent, or miscellaneous).

Conclusions:

  • Unlike patients with prior head and neck cancers, those with extrapulmonary malignancies did not exhibit a high-risk profile for lung cancer.
  • Survival estimates by stage fall within universally accepted ranges.
  • Curative intent resection of lung cancer is a reasonable therapeutic option for patients with a history of extrapulmonary malignancy.