Mediastinal lymphadenectomy in elderly patients with non-small-cell lung cancer.
Fiche publication
Date publication
juillet 2013
Auteurs
Membres identifiés du Cancéropôle Est :
Pr FALCOZ Pierre-Emmanuel
Tous les auteurs :
Rivera C, Falcoz PE, Rami-Porta R, Velly JF, Begueret H, Roques X, Dahan M, Jougon J
Lien Pubmed
Résumé
OBJECTIVES: The progressive ageing of the population is accompanied by an increasing incidence of cancer. Our objective was to compare mediastinal lymphadenectomy performed in the surgical treatment of non-small-cell lung cancer (NSCLC) patients between >/= 70 and /= 70 years of age, surgically treated for NSCLC between January 2008 and December 2010, matched 1:1 to 80 younger controls on gender, American Society of Anesthesia score, performance status and histological subtype of the tumour. The number and type of dissected hilar/intrapulmonary and mediastinal lymph node stations as well as the number of resected lymph nodes were compared between the two age groups. RESULTS: The type of pulmonary resection was significantly different between the two groups (P = 0.03): pneumonectomy 6% (n = 5) for patients >/= 70 vs 12% (n = 10) for patients /= 70 (2.3 vs 1.3 in patients /= 70 than in younger patients presenting comparable clinical and histopathological characteristics, and undergoing a similar lymphadenectomy.
Référence
Eur J Cardiothorac Surg. 2013 Jul;44(1):88-92