PMID- 15041941 OWN - NLM STAT- MEDLINE DCOM- 20040520 LR - 20161026 IS - 0021-9509 (Print) IS - 0021-9509 (Linking) VI - 45 IP - 1 DP - 2004 Feb TI - Comparison between segmentectomy and larger resection of stage IA non-small cell lung carcinoma. PG - 67-70 AB - AIM: Stage IA non small cell lung carcinoma (NSCLC) represents early cancer and is best treated by surgery. The frequency of recurrence and new primary cancer varies from one report to another while the role of sublobar resection is still debated. METHODS: We retrospectively reviewed 121 consecutive patients with pathological stage IA after radical surgery. RESULTS: In stage IA NSCLC 1-, 3-, 5-year survival rates were 89%, 76% and 66%. Nearly half of the deaths were unrelated to the original cancer. From statistical analysis we did not find any factor indicative of a better prognosis. We did not find any difference in survival between histologic types. Segmentectomy did not show a worse survival rate compared with larger resection. CONCLUSION: Survival is neither influenced by the type of resection nor by the histologic types in stage IA. However, we noticed a high incidence of local recurrence, segmentectomy could be a viable choice in patients with cardiopulmonary impairment. FAU - Campione, A AU - Campione A AD - Department of Thoracic and Cardiovascular Surgery, University Hospital Le Scotte, Siena, Italy. FAU - Ligabue, T AU - Ligabue T FAU - Luzzi, L AU - Luzzi L FAU - Ghiribelli, C AU - Ghiribelli C FAU - Voltolini, L AU - Voltolini L FAU - Paladini, P AU - Paladini P FAU - Di Bisceglie, M AU - Di Bisceglie M FAU - D'Agata, A AU - D'Agata A FAU - Gotti, G AU - Gotti G LA - eng PT - Comparative Study PT - Journal Article PL - Italy TA - J Cardiovasc Surg (Torino) JT - The Journal of cardiovascular surgery JID - 0066127 SB - IM MH - Adenocarcinoma/mortality/pathology/surgery MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Adenosquamous/mortality/pathology/surgery MH - Carcinoma, Large Cell/mortality/pathology/surgery MH - Carcinoma, Non-Small-Cell Lung/mortality/pathology/*surgery MH - Carcinoma, Squamous Cell/mortality/pathology/surgery MH - Female MH - Hospital Mortality MH - Hospitals, University MH - Humans MH - Incidence MH - Italy/epidemiology MH - Lung Neoplasms/mortality/pathology/*surgery MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/epidemiology MH - Neoplasm Staging MH - Pneumonectomy/adverse effects/*methods MH - Prognosis MH - Retrospective Studies MH - Survival Analysis MH - Treatment Outcome EDAT- 2004/03/26 05:00 MHDA- 2004/05/21 05:00 CRDT- 2004/03/26 05:00 PHST- 2004/03/26 05:00 [pubmed] PHST- 2004/05/21 05:00 [medline] PHST- 2004/03/26 05:00 [entrez] PST - ppublish SO - J Cardiovasc Surg (Torino). 2004 Feb;45(1):67-70.