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. 2025 Oct 10;31(1):25-00100. doi: 10.5761/atcs.oa.25-00100

Table 2. Clinicopathologic features and operative characteristics.

Characteristic Overall
(n = 421)
No STAS or
VPI (n = XX)
STAS+ only
(n = 63)
VPI+ only
(n = 99)
STAS+ and
VPI+ (n = 34)
p-Value
Histology 0.283
 Adenocarcinoma 342 (81%) 172 (76%) 58 (92%) 82 (83%) 30 (88%)
 Squamous cell carcinoma 72 (17%) 47 (21%) 5 (8%) 16 (16%) 4 (12%)
 Large cell carcinoma 3 (1%) 3 (1%) 0 (0%) 0 (0%) 0 (0%)
 Other 3 (1%) 2 (1%) 0 (0%) 1 (1%) 0 (0%)
Predominant histologic subtype <0.001
 Lepidic 37 (9%) 31 (19%) 4 (7%) 2 (2%) 0 (0%)
 Acinar 205 (49%) 101 (62%) 32 (56%) 54 (66%) 18 (60%)
 Papillary 15 (4%) 7 (4%) 6 (11%) 0 (0%) 2 (7%)
 Solid 37 (9%) 16 (10%) 5 (9%) 11 (13%) 5 (17%)
 Micropapillary 7 (2%) 3 (2%) 3 (5%) 0 (0%) 1 (3%)
 Mucinous 32 (8%) 6 (4%) 7 (12%) 15 (18%) 4 (13%)
Grade <0.001
 Well differentiated 42 (10%) 37 (17%) 4 (6%) 1 (1%) 0 (0%)
 Moderately differentiated 170 (40%) 100 (45%) 27 (44%) 34 (34%) 9 (26%)
 Poorly differentiated 204 (48%) 84 (38%) 31 (50%) 64 (65%) 25 (74%)
Tumor size (cm) 2.3 ± 1.5 2.0 ± 1.2 2.3 ± 1.6 2.8 ± 1.6 3.3 ± 2.3 <0.001
Margin distance (cm) 2.7 ± 1.8 2.8 ± 1.9 2.7 ± 1.8 2.5 ± 1.9 2.8 ± 1.5 0.653
Lymphovascular invasion 146 (35%) 50 (22%) 23 (37%) 51 (53%) 22 (65%) <0.001
Pathologic stage <0.001
 Stage I 302 (72%) 182 (81%) 46 (73%) 61 (62%) 13 (38%)
 Stage IIA 11 (3%) 5 (2%) 1 (2%) 5 (5%) 1 (3%)
 Stage IIB 69 (16%) 26 (12%) 9 (14%) 19 (19%) 15 (44%)
 Stage IIIA 39 (7%) 8 (4%) 7 (11%) 10 (10%) 4 (12%)
 Stage IIIB 5 (1%) 1 (0%) 0 (0%) 4 (4%) 1 (3%)
PDL-1 status 0.107
 <1% 72 (17%) 41 (18%) 12 (19%) 10 (10%) 9 (26%)
 1%–50% 106 (25%) 45 (20%) 18 (29%) 33 (33%) 10 (29%)
 >50% 34 (8%) 17 (8%) 5 (8%) 8 (8%) 4 (12%)
 Unknown 209 (50%) 122 (54%) 28 (44%) 48 (48%) 11 (32%)
Neoadjuvant therapy 15 (4%) 8 (4%) 2 (3%) 4 (4%) 1 (3%) 0.988
Operation 0.688
 Wedge resection 29 (7%) 16 (7%) 5 (8%) 7 (7%) 1 (3%)
 Segmentectomy 74 (18%) 45 (20%) 8 (13%) 17 (17%) 4 (12%)
 Lobectomy 318 (76%) 164 (73%) 50 (79%) 75 (76%) 29 (85%)

Bold values are significant as they are <0.05.

STAS: tumor spread through air spaces; VPI: visceral pleural invasion; PD-L1: programmed death ligand 1