Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer

被引:1
作者
Zhao, Ziran [1 ]
Gao, Yibo [1 ]
Tan, Fengwei [1 ]
Xue, Qi [1 ]
Gao, Shugeng [1 ]
He, Jie [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Thorac Surg Dept,Natl Clin Res Ctr Canc, Beijing, Peoples R China
基金
中国国家自然科学基金;
关键词
combined small cell lung cancer (c-SCLC); 8th TNM stage criteria; prognostic significance; SEER database; surgery; CLASSIFICATION; REVISION; VALIDATION; PROPOSALS;
D O I
10.3389/fonc.2023.1018288
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ObjectivesThis study aimed to evaluate the prognostic significance of the eighth edition TNM stage criteria in patients with combined small-cell lung cancer (C-SCLC) on a population level. MethodsUsing the Surveillance, Epidemiology, and End Results (SEER) database, patients diagnosed with C-SCLC (histology code 8245) between the years 2004 and 2015 were identified. We performed a Kaplan-Meier analysis and used the multivariable cox regression proportional hazards model to obtain prognostic overall survival estimates for each group of patients. ResultsA total of 477 patients diagnosed with C-SCLC were identified. The T, N, M, TNM, and combined TNM stage status of the eighth edition were all significant prognostic factors for patients' overall survivals, with the best discrimination identified in the combined stages. Surgery was also found to be a prognostic factor (HR =1.95, 95%CI =1.49-2.56, p<0.01) for patients with C-SCLC. ConclusionsThe combined eighth edition of the TNM staging criteria shows reliable prognostic significance in patients with C-SCLC. Moreover, surgery might be significant for improving the patients' prognosis.
引用
收藏
页数:7
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