タイトル
Vol.37 No.7 contents Japanese/English

- Original Article -

Clinico-pathological Study for Recurrence of Pulmonary Adenocarcinoma

Hiroyuki Suzuki, Takanori Kawaguchi*, Koichi Fujiiu, Ryuzo Kanno, Akio Ohishi**, Hitoshi Inoue and Ryoichi Motoki
First Department of Surgery Fukushima Medical College, *Second Department of Pathology Fukushima Medical College, **Department of Surgery Fukushima Red Cross Hospital

We attempted to establish the pattern of recurrence in primary lung adenocarcinoma with clinicopathologic variables based on data of 131 patients with completely resected primary lung adenocarcinoma. In univariate analysis, tumor size (more, or less, than 3 cm in diameter), p-T. p-N, pathological stage, differentiation, ly factor and v factor were chosen for prognostic predictors. p-N, ly factor and differentiation correlated with metastatic recurrence . Tumor size, ly factor and v factor correlated with local recurrence. In multivariate analysis, v factor and p-N were independent variables of local recurrence and metastatic recurrence, respectively. We conclude that mode involvement and vascular invasion play central roles in lung adenocarcinoma recurrence.
key words: Pulmonary adenocarcinoma, Distant metastasis, Local recurrence

Received: June 26, 1997
Accepted: November 11, 1997

JJLC 37 (7): 967-972, 1997

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