Results of surgical treatment for lung cancer in young adults

Takeshi Hanagiri, Kenji Sugio, Hidetaka Uramoto, Masakazu Sugaya, Kenji Ono, Tetsuya So, Yoshinobu Ichiki, Shoji Nakata, Tadahiro Nozoe, Toshihiro Osaki, Kosei Yasumoto

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Abstract

In this study, we evaluated the results of surgical treatment in young adults and compared the clinico-pathological features between young and elderly patients. We reviewed the clinical records of 1185 lung cancer patients who underwent surgery in our department. A total of 20 (1.7%) primary lung cancer patients (14 men and 6 women) ≤40 years of age were retrieved. The age range was from 26 to 40 years. Histological type included 10 adenocarcinomas (50%), 3 large cell carcinomas (15%), 3 carcinoids (15%), 2 squamous cell carcinomas (10%), and 2 others. The surgical procedure included 7 (35%) pneumonectomies, 11 (55.0%) lobectomies, and 1 (5%) partial resection. The proportion of pneumonectomies was significantly higher than among elderly patients. Clinical stage was underestimated in 7 of 20 patients, and among these, mediastinal lymph node metastases were revealed by pathological examination in 6 patients. Postoperative 5-year survival rates were 50.2%, 50.4%, and 43.8% in patients ≤40 41-70, and ≥71 years old, respectively. There were no significant differences in survival rates between younger group and elderly groups. This study suggests that surgical resection is also recommended as the first-line treatment for younger patients with lung cancer.

Original languageEnglish
Pages (from-to)50-54
Number of pages5
JournalInternational Surgery
Volume93
Issue number1
Publication statusPublished - Jan 1 2008

All Science Journal Classification (ASJC) codes

  • Surgery

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    Hanagiri, T., Sugio, K., Uramoto, H., Sugaya, M., Ono, K., So, T., Ichiki, Y., Nakata, S., Nozoe, T., Osaki, T., & Yasumoto, K. (2008). Results of surgical treatment for lung cancer in young adults. International Surgery, 93(1), 50-54.