Factors Affecting Survival in Small Cell Lung Cancer

A. Sakin, Erhan Turgut, Muruvvet Aybek, Ahmet Usta, Özgür Koşan, K. Çelik, S. Ozturk, M. Koçer
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Abstract

Background:Small cell lung cancer (SCLC) constitutes about 15-25 % of lung cancers with high mortality rate. Herein we observed the effect of parameters at the time of diagnosis to survival of cases with SCLC.Methods:We evaluated 65 patients who were followed up in our oncology department retrospectively.Results:Tumor location and stage at the time of diagnosis, smoking history, accompanying comorbidities, ECOG PS, laboratory parameters and treatments applied in pursuit were evaluated. 3-month survival rate of patients was 75.9%, 50.2% for 6-month, 21.4% for 1 year, and 5.5% for 2 years during follow up. ECOG PS and stage were found statistically significant risk factors in model created to determine overall survival.Conclusion:Performance score at the time of diagnosis, stage and presence of liver metastasis are identified as prognostic factors for SCLC and of these factors are quite valuable to predict the clinical outcome.
影响小细胞肺癌生存的因素
背景:小细胞肺癌(SCLC)约占肺癌的15- 25%,死亡率高。在此,我们观察了诊断时的参数对SCLC患者生存的影响。方法:对我院肿瘤科随访的65例患者进行回顾性分析。结果:对诊断时肿瘤的位置和分期、吸烟史、伴随的合并症、ECOG PS、实验室参数和治疗方法进行评价。3个月生存率为75.9%,6个月生存率为50.2%,1年生存率为21.4%,2年生存率为5.5%。在确定总生存率的模型中,ECOG、PS和分期被发现具有统计学意义的危险因素。结论:诊断、分期及有无肝转移时的表现评分可作为SCLC的预后因素,这些因素对预测临床预后有重要价值。
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