Objectives Optimal procedures for adjuvant treatment and post-surgical surveillance of resected non-small-cell lung cancer remain under discussion. Pathological features are the main determinant of follow-up therapy but have limited ability to identify patients at risk of recurrence. Increasingly, molecular markers are incorporated into clinical decision-making, including measures of tumor growth. The CCP score is a quantitative, molecular measure of proliferation derived from the RNA expression of 31 cell cycle genes and a component of the molecular prognostic score (mPS). The mPS score is a linear combination of CCP score and pathological stage. CCP score and mPS are independent predictors of survival in resected lung adenocarcinoma. Materials and methods CCP scores were determined by RT-qPCR for 318 patients diagnosed with stage IâII lung adenocarcinoma. Association of mPS and CCP score with distant recurrence and lung-cancer specific survival was assessed in Cox proportional hazards regression models adjusted for age, gender, tumor size, pathological stage and pleural invasion. Distant recurrence-free survival and lung-cancer specific survival by mPS risk group were calculated by Kaplan-Meier survival analysis. Results CCP scores were obtained for 205 stage I and 84 stage II patients. CCP score and mPS were independent markers of distant recurrence (CCP: HR 1.62, 95%CI 1.15-2.29, pÂ =Â 0.0055; mPS: HR 2.22, 95%CI 1.11-4.44, pÂ =Â 0.023). Patients with low mPS tumors were at significantly reduced risk of distant recurrence (log-rank pÂ =Â 4.2Â ÃÂ 10â5). Among stage I patients, stratification by mPS identified a patient group with increased risk of distant recurrence (36%, 95%CI 28â46%, log-rank pÂ =Â 0.0011) Conclusions The molecular prognostic score stratifies early-stage, resected lung cancer patients for risk of distant recurrence and could be useful to inform treatment and surveillance decisions.
|Data di pubblicazione:||2016|
|Titolo:||Prediction of distant recurrence in resected stage I and II lung adenocarcinoma|
|Autore/i:||Aramini, Beatrice; Casali, Christian; Stefani, Alessandro; Bettelli, Stefania; Wagner, Susanne; Sangale, Zaina; Hughes, Elisha; Lanchbury, Jerry S.; Maiorana, Antonino; Morandi, Uliano|
|Digital Object Identifier (DOI):||10.1016/j.lungcan.2016.09.005|
|Codice identificativo ISI:||WOS:000388046700013|
|Codice identificativo Scopus:||2-s2.0-84987941855|
|Codice identificativo Pubmed:||27794412|
|Citazione:||Prediction of distant recurrence in resected stage I and II lung adenocarcinoma / Aramini, Beatrice; Casali, Christian; Stefani, Alessandro; Bettelli, Stefania; Wagner, Susanne; Sangale, Zaina; Hughes, Elisha; Lanchbury, Jerry S.; Maiorana, Antonino; Morandi, Uliano. - In: LUNG CANCER. - ISSN 0169-5002. - ELETTRONICO. - 101(2016), pp. 82-87.|
|Tipologia||Articolo su rivista|
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