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editorial
. 2017 Mar;9(3):E285–E289. doi: 10.21037/jtd.2017.03.51

Table 1. National database analysis of surgical cases of SCLC by the 7th TNM classification.

Authors and journal Database Year N c-stage (%) p-stage (%) 5-year survival range (%) Comments
Vallières et al., J Thorac Oncol [2009] (4) IASLC 1990−2000 349 IA =34%; IB =25%; IIA =4%; IIB =9%; IIIA =21%; IIIB =5%; IV =2% IA =22%; IB =22%; IIA =12%; IIB =9%; IIIA =21%; IIIB =11%; IV =3% pIA =56%; pIB =57%; pIIA =38%; pIIB =40%; pIIIA =12%; pIIIB =0% 19.7% of cI−II upstaged to pIIIA; NA regarding to adjuvant therapy
Yu et al., J Thorac Oncol [2010] (6) SEER 1988−2004 1,560 ND I =100% LB with RT =57.1%; LB without RT =49.1%; P=0.90 No CT data on SEER
Weksler et al., Ann Thorac Surg [2012] (7) SEER 1988−2004 895 I =76%; II =24% ND 34 months of MST; Survival advantage of surgery in cI−II No survival improvement in addition of RT
Takei et al., J Thorac Oncol [2014] (23) JLCR 2004 243 IA =54.3%; IB =14.3%; IIA =10.3%; IIB =4.1%; IIIA =12.3%; IIIB =1.2%; IV=2.9% IA =38.3%; IB =21.0%; IIA =11.1%; IIB =7.0%; IIIA =18.5%; IIIB =0.4%; IV =3.7% pIA =72.3%; pIB =61.1%; pIIA =44.8%; pIIB =40.3%; pIIIA =23.4%; pIIV =0% 23.2% of cIAB upstaged p-stage II or III. No survival improvement in addition of adjuvant CT
Thomas et al., Lung Cancer [2017] (24) NCDB 2004−2013 477 IA =84.2%; IB =16.8% Same stage =52%; upstage =36%;
P<0.01
25% of cIAB upstaged p-stage II or III. Survival improvement of additional CT/RT in upstage cases

IASLC, International Association for the Study of Lung Cancer; SEER, Surveillance Epidemiology and End Results; JLCR, Japanese Lung Cancer Registry; LB, lobectomy; RT, radiation; CT, chemotherapy; ND, no data; NA, no analysis.