Evidence map›Paper›PMID 41511595›Full record

ArticleAnnals of surgical oncology2026

Percutaneous Transthoracic Needle Biopsy May Increase Recurrence in Early-Stage Non-Small Cell Lung Cancer: A Propensity Score-Matched Analysis.

Woohyun Jung, Sukki Cho, Jae Hyun Jeon, Kwhanmien Kim

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Woohyun JungDivision of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul, Republic of Korea.
Sukki ChoDivision of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul, Republic of Korea. tubincho@snu.ac.kr.
Jae Hyun JeonDivision of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul, Republic of Korea.
Kwhanmien KimDivision of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the association between percutaneous transthoracic needle biopsy (PTNB) and recurrence in early-stage non-small-cell lung cancer (NSCLC).

methodsA retrospective study was conducted to analyze patients with cT1b-2aN0M0 NSCLC who underwent lobectomy between 2009 and 2021. The exclusion criteria ruled out multiple primary lung cancers and bronchoscopic biopsy. Patients were classified into a PTNB group and a non-biopsy group according to whether they underwent preoperative PTNB. Propensity score-matching was applied, and cumulative incidence of recurrence (CIR) was compared. Fine and Gray competing-risk regression was used to evaluate the association between PTNB and recurrence. Subgroup analyses were conducted according to pathologic stage and the presence of high-risk pathologic features.

resultsOf 2208 eligible patients, 674 (30.5 %) underwent PTNB, and 1534 (69.5 %) did not. After propensity score-matching, each group included 416 patients with balanced baseline characteristics. In the matched cohort, the 5-year CIR was significantly higher in the PTNB group (21.1 %; 95 % confidence interval [CI], 18.0-26.1 %) than in the non-biopsy group (13.7 %; 95 % CI, 10.2-17.3 %; P < 0.001). In multivariate competing-risk regression analysis, PTNB was independently associated with increased recurrence risk in models incorporating clinical variables alone (subdistribution hazard ratio [SHR], 1.892; 95 % CI, 1.407-2.545; P < 0.001) as well as in models incorporating both clinical and pathologic variables (SHR, 1.851; 95 % CI, 1.375-2.493; P < 0.001). Subgroup analyses demonstrated that the association between PTNB and recurrence persisted regardless of pathologic tumor-node-metastasis (pTNM) stage and the presence of high-risk pathologic features.

conclusionPreoperative PTNB was associated with an increased risk of recurrence for patients with early-stage NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsNeoplasm Recurrence, LocalAgedBiopsy, NeedleFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingPneumonectomyPrognosisPropensity ScoreRetrospective StudiesSurvival RateDiagnosisNeedle biopsyNon-small cell lung cancer

Identifiers

PMID41511595

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.