原创力文档comparison of patient survival after resection for pulmonary carcinoid tumors compared to other neuroendocrine tumors a united states population study比较肺类癌肿瘤切除术后患者生存的美国人口相对于其他神经内分泌肿瘤的研究.pdfVIP
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comparison of patient survival after resection for pulmonary carcinoid tumors compared to other neuroendocrine tumors a united states population study比较肺类癌肿瘤切除术后患者生存的美国人口相对于其他神经内分泌肿瘤的研究
Open Journal of Thoracic Surgery, 2012, 2, 99-103 99
/ 10.4236/ojts.2012.24020 Published Online December 2012 (http://www.SciRP.org/journal/ojts)
Comparison of Patient Survival after Resection for
Pulmonary Carcinoid Tumors Compared to Other
Neuroendocrine Tumors: A United States
Population Study
*
Jay M. Bhatt, J. Nilas Young, David T. Cooke
Division of Cardiothoracic Surgery, Davis Medical Center, University of California, Sacramento, USA.
*
Email: david.cooke@
th th th
Received October 9 , 2012; revised November 9 , 2012; accepted November 19 , 2012
ABSTRACT
Background: We hypothesized: 1) Resected pulmonary typical carcinoid (TC) will show a favorable clinical pattern
compared to other bronchopulmonary neuroendocrine tumors (BPNETs); and 2) Atypical carcinoid (AC) and large-cell
neuroendocrine carcinoma (LCNEC) patients will have similar outcomes. Methods: The Surveillance Epidemiology
and End Result database was queried to compare demographics and tumor specific variables in patients undergoing
resection for TC, AC, LCNEC and small cell lung cancer (SCLC) from 2001 to 2006. Results: Similar to LCNEC, AC
patients had greater incidence of histologic positive lymph nodes compared to TC (P 0.001). Survival analysis showed
a mean survival of 40.0 ± 1.9 months for SCLC, 46.2 ± 2.2 months for LCNEC, 58.3 ± 2.3 months for AC, and 70.2 ±
0.2 months for TC tumors. TC patients demonstrated favorable survival, and SCLC patients poorer survival, compared
to AC and LNEC patients (P 0.01). Conclusion: AC tumors are a BPNET histology that exhibits clinical behavior
distinct from TC. AC tumors should be staged, and treated with stage appropriate therapeutic s
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