Table 1.
Patient and primary tumour characteristics
Second primary group (n = 16) | Metastatic disease group (n = 21) | |||||
---|---|---|---|---|---|---|
Patient characteristics | p value | |||||
Mean age (range) | 68 years (49–85 years) | 67 years (47–84 years) | 0.715 | |||
Sex (m:v) | 11:5 | 12:9 | 0.471 | |||
Smoking status | Smoker | 7 | 10 | 0.713 | ||
Ex-smoker | 7 | 9 | ||||
Non-smoker | 2 | 1 | ||||
Missing | 0 | 1 | ||||
Mean no. of pack years | 33.6 ± 15.9 | 35.0 ± 21.2 | 0.842 | |||
Conclusiona based on | Histopathology | 13 | 5 | |||
P53 mutation analysis | 1 | 0 | ||||
Immunohistochemistry | 2 | 0 | ||||
Clinical features | 0 | 16 | ||||
Curabilityb | Potentially curable | 12 | 0 | |||
Incurable | 4 | 21 | ||||
Characteristics of primary tumours | Index tumour | Synchronous pulmonary tumour | ||||
Site | Lung | 7 | 16 | 21 | ||
Colorectum | 5 | 0 | 0 | |||
Head and neck | 4 | 0 | 0 | |||
Histopathology | SCLC | 0 | 0 | 3 | ||
NSCLC | AC | 9 | 9 | 13 | ||
BAC | 0 | 1 | 0 | |||
SCC | 7 | 2 | 1 | |||
LCC | 0 | 2 | 2 | |||
Undifferentiated | 0 | 0 | 2 | |||
Other | 0 | 2 | 0 | |||
Differentiation | Very poor | 0 | 0 | 3 | ||
Poor | 6 | 8 | 7 | |||
Intermediate | 8 | 2 | 1 | |||
Well | 0 | 2 | 1 | |||
Unspecified | 2 | 4 | 9 | |||
Stagec | IA | 4 | 5 | 0 | ||
IB | 2 | 1 | 0 | |||
IIA | 2 | 2 | 0 | |||
IIB | 2 | 3 | 0 | |||
IIIA | 4 | 2 | 0 | |||
IIIB | 0 | 1 | 2 | |||
IV | 2 | 1 | 19 | |||
Missing | 0 | 1 | 0 |
SCLC small cell lung carcinoma, NSCLC non-small cell lung carcinoma, AC adenocarcinoma, BAC bronchioloalveolar carcinoma, SCC squamous cell carcinoma, LCC large cell carcinoma
aThe conclusion second primary tumour or metastatic disease was based on histopathological or immunohistochemical features, TP53 mutation analysis results or clinical features. The latter included localization of multiple (more than two) malignancies in a pattern typical for metastatic spread of the identified primary tumour
bPatients with two tumours of stage I–IIIA were considered potentially curable, whereas patients with at least one tumour staged IIIB/IV were considered incurable (TNM staging system version 6)
cAccording to the sixth edition of the TNM classification for lung cancer developed by the International Association for the Study of Lung Cancer [42]