The Novel Histologic International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society Classification System of Lung Adenocarcinoma Is a Stage-Independent Predictor of Survival

作者: Arne Warth , Thomas Muley , Michael Meister , Albrecht Stenzinger , Michael Thomas

DOI: 10.1200/JCO.2011.37.2185

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摘要: Purpose Our aim was to analyze and validate the prognostic impact of novel International Association for Study Lung Cancer (IASLC)/American Thoracic Society (ATS)/European Respiratory (ERS) proposal an architectural classification invasive pulmonary adenocarcinomas (ADCs) across all tumor stages. Patients Methods The pattern a large cohort 500 patients with resected ADCs (stages I IV) retrospectively analyzed in 5% increments classified according their predominant architecture (lepidic, acinar, solid, papillary, or micropapillary), as proposed by IASLC/ATS/ERS. Subsequently, histomorphologic data were correlated clinical data, adjuvant therapy, patient outcome. Results Overall survival differed significantly between lepidic (78.5 months), acinar (67.3 solid (58.1 papillary (48.9 micropapillary (44.9 months) (P = .007). When patterns lumped into groups, this resulted even mor...

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