Original Article

Factors affecting tumor recurrence after curative surgery for NSCLC: impacts of lymphovascular invasion on early tumor recurrence Chanyeong Park1, In Jae Lee1, Seung Hun Jang2, Jae Woong Lee3 1

Department of Radiology, 2Department of Internal Medicine, 3Department of Thoracic Surgery, Hallym University College of Medicine,

Chuncheon, Republic of Korea Correspondence to: In Jae Lee, MD, PhD. Department of Radiology, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, Anyang-city, Gyeonggi-do, 431-796, Republic of Korea. Email: [email protected].

Background: Although surgery is potentially curative treatment for non-small cell lung cancer (NSCLC), the risk of postoperative disease recurrence is still high. This study was conducted to assess the factors associated with postoperative tumor recurrence in patients who underwent curative surgery for NSCLC. Methods: One hundred seventy-one patients who underwent curative surgery for NSCLC were included in this study. Clinicopathological factors of histologic type, pathologic TNM stage, T stage, N stage, lymphovascular invasion (LVI), perineural invasion (PNI), surgical procedure, adjuvant chemotherapy and adjuvant radiotherapy were investigated. Gender, age, and clinicopathologic factors were included in univariate and multivariate analyses using the Kaplan-Meier method and Cox proportional hazards model, respectively. Mann-Whitney U and Kruskal-Wallis tests were used to investigate the significance of differences in recurrence-free interval (RFI) according to clinicopathological factors. Results: Median RFI was 20 months. Univariate and multivariate analyses for overall recurrence identified T stage, N stage, and LVI as significant factors (P=0.045, 0.044, and

Factors affecting tumor recurrence after curative surgery for NSCLC: impacts of lymphovascular invasion on early tumor recurrence.

Although surgery is potentially curative treatment for non-small cell lung cancer (NSCLC), the risk of postoperative disease recurrence is still high...
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