Evidence map›Paper›PMID 38977890›Full record

ArticleScientific reports2024

Different clinicopathological features between young and older patients with pulmonary adenocarcinoma and ground-glass opacity.

Xingbing Lu, Yuzuo Chen, Yuxiao Li, Mengli Tang, Xi Zheng

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Xingbing Lu *Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yuzuo Chen *Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yuxiao LiWest China Hospital, Sichuan University, Chengdu, China.
Mengli TangDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Xi ZhengLung Cancer Center, West China Hospital, Sichuan University, Guoxue Lane 37, Chengdu, Sichuan Province, China. 652904414@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After the recommendation of computed tomography as a routine procedure for lung cancer screening, an increasing number of young adults have been diagnosed with pulmonary ground-glass opacity (GGO). Up to 63% of pulmonary nodules with a GGO component can be malignant. Since young cancer patients have limited exposure to environmental mutagens, they have special characteristics and needs. This study sought to compare the clinicopathological characteristics of young and old patients with GGO-associated lung adenocarcinoma (GGO-LUAD). Clinicopathological data from 203 patients who underwent video-assisted thoracoscopic surgery between January 2018 and April 2020 for pulmonary GGO component nodules were reviewed. Lung nonmucinous adenocarcinoma patients younger than 40 years old and older than 40 years old were enrolled: 103 patients ≤ 40 years old and 100 patients > 40 years old. The relevant clinicopathological features, including sex, smoking status, tumor size, pathological characteristics, radiographic features and prognosis of pulmonary nodules, were evaluated. Univariate analyses were applied for comparisons between groups. The differences in baseline characteristics (sex, smoking status, tumor location) between the different age groups were not significant. Young patients were more likely to have tumors < 1 cm in size, while older patients predominantly had tumors > 2 cm in size. The mean percentage of invasive adenocarcinoma was greater in the elderly group. Young and older patients seemed to have similar subtypes of adenocarcinoma (p > 0.05) but had different degrees of differentiation (p < 0.001). The 3-year overall survival (OS) and recurrence-free survival (RFS) of the young group were 100% and 99.03%, respectively, while the 3-years OS and RFS of the older group were 99% and 98%, respectively. Our work revealed that young patients with malignant pulmonary nodules and GGOs have distinct pathological subtypes. Patients with GGOs of different ages have different clinicopathological characteristics. The 3-year prognosis of young patients with malignant pulmonary nodules with GGOs is satisfactory.

Indexed as

Adenocarcinoma of LungLung NeoplasmsTomography, X-Ray ComputedAdultAgedAge FactorsFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesThoracic Surgery, Video-AssistedClinical characteristicsPulmonary adenocarcinomaPulmonary ground-glass opacity (GGO)

Identifiers

PMID38977890
PMCPMC11231279

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