Table 2.
Factors associated with the development of brain metastases
Univariate analysis | Multivariate analysis | |||||
---|---|---|---|---|---|---|
|
|
Incidence of BM (%) |
|
|
|
|
Factors |
1-yr |
3-yr |
5-yr |
P |
P |
RR (95 % CI) |
Gender |
|
|
|
|
|
|
Male |
7.6 |
20.5 |
26.9 |
0.012 |
|
|
Female |
13.3 |
33.4 |
43.0 |
|
|
|
Age |
|
|
|
|
|
|
≤60 yrs |
14.1 |
28.8 |
37.9 |
0.035 |
|
|
>60 yrs |
3.9 |
19.3 |
24.9 |
|
|
|
Smoking History |
|
|
|
|
|
|
Negative |
11.7 |
28.6 |
37.9 |
0.038 |
|
|
Positive |
7.2 |
21.0 |
26.8 |
|
|
|
Histology |
|
|
|
|
|
|
Non- squamous cell cancer |
12.0 |
34.6 |
44.3 |
0.000 |
0.001 |
4.13(1.86-9.19) |
Squamous cell cancer |
5.0 |
8.3 |
11.4 |
|
|
|
Tumor stage |
|
|
|
|
|
|
T1 |
5.9 |
20.1 |
36.1 |
0.596 |
|
|
T2 |
8.3 |
22.6 |
30.1 |
|
|
|
T3 |
14.4 |
36.9 |
36.9 |
|
|
|
Laterality |
|
|
|
|
|
|
Left |
9.8 |
26.8 |
33.9 |
0.456 |
|
|
Right |
8.7 |
22.2 |
30.3 |
|
|
|
Location |
|
|
|
|
|
|
Upper/middle lobe |
7.8 |
22.3 |
31.7 |
0.798 |
|
|
Lower lobe |
11.5 |
27.2 |
31.6 |
|
|
|
Histologic grade |
|
|
|
|
|
|
Well/moderate |
8.8 |
21.7 |
31.1 |
0.601 |
|
|
Poor |
11.4 |
29.5 |
33.0 |
|
|
|
Adjuvant chemotherapy |
|
|
|
|
|
|
No |
11.0 |
21.2 |
24.7 |
0.511 |
|
|
Yes |
8.5 |
25.1 |
33.8 |
|
|
|
Postoperative radiotherapy |
|
|
|
|
|
|
No |
9.5 |
25.3 |
34.4 |
0.344 |
|
|
Yes |
8.7 |
23.0 |
29.0 |
|
|
|
No. of metastatic lymphonodes |
|
|
|
|
|
|
≤5 |
4.6 |
13.3 |
20.9 |
0.000 |
|
|
>5 |
14.5 |
38.6 |
46.3 |
|
|
|
LNR |
|
|
|
|
|
|
≥ 30 % |
15.3 |
39.2 |
46.4 |
0.000 |
0.000 |
3.33(1.79-6.18) |
< 30 % |
2.9 |
10.3 |
18.4 |
|
|
|
No. of metastatic mediastinal lymphonodes |
|
|
|
|
|
|
< 3 |
4.9 |
13.8 |
21.0 |
0.001 |
|
|
≥ 3 |
13.6 |
35.2 |
43.0 |
|
|
|
No. of metastatic mediastinal lymphonodes station |
|
|
|
|
|
|
1 |
6.0 |
14.8 |
21.8 |
0.000 |
|
|
2-4 |
15.1 |
42.7 |
51.6 |
|
|
|
Ratio of metastatic mediastinal lymphonodes station |
|
|
|
|
|
|
≤50 % |
3.8 |
13.8 |
19.5 |
0.000 |
|
|
>50 % | 15.0 | 35.8 | 44.9 |
BM indicates brain metastases; RR, relative risk; LNR, lymph node ratio.