Premalignant changes in the bronchial epithelium are prognostic factors of distant metastasis in non-small cell lung cancer patients

Background: The study assessed the possibility of dividing patients into groups based on the assessment of morphological changes in the epithelium of small-caliber bronchi located near the primary tumor in order to predict high and low risks of distant metastasis of non-small cell lung cancer. Metho...

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Published in:Frontiers in oncology Vol. 11. P. 771802 (1-10)
Other Authors: Pankova, Olga V., Tashireva, Liubov A., Rodionov, Evgeniy O., Miller, Sergey V., Tuzikov, Sergey A., Pismenny, Dmitry S., Gerashchenko, Tatiana S., Zavyalova, Marina V., Vtorushin, Sergey V., Denisov, Evgeny V., Perelmuter, Vladimir M.
Format: Article
Language:English
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Online Access:http://vital.lib.tsu.ru/vital/access/manager/Repository/koha:000896153
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245 1 0 |a Premalignant changes in the bronchial epithelium are prognostic factors of distant metastasis in non-small cell lung cancer patients  |c O. V. Pankova, L. A. Tashireva, E. O. Rodionov [et al.] 
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504 |a Библиогр.: 11 назв. 
520 3 |a Background: The study assessed the possibility of dividing patients into groups based on the assessment of morphological changes in the epithelium of small-caliber bronchi located near the primary tumor in order to predict high and low risks of distant metastasis of non-small cell lung cancer. Methods: In 171 patients with non-small cell lung cancer (T1-4N0-3M0) in small-caliber bronchi taken at a distance of 3-5 cm from the tumor, various variants of morphological changes in the bronchial epithelium (basal cell hyperplasia (BCH), squamous cell metaplasia (SM), and dysplasia (D)) were assessed. Long-term results of treatment, namely, distant metastasis, were assessed after 2 and 5 years. Results: During the follow-up period, distant metastases were found in 35.1% (60/171) of patients. Most often, they were observed in patients of the high-risk group: BCH+SM−D−(51.6%, 40/95) and BCH−SM+D+ (54.4%, 6/11). Less often, distant metastases were observed in low-risk group patients: BCH+SM+D− (6.7%, 3/45) and BCH−SM−D−(10.0%, 2/20). Tumor size, grade, and stage were significant predictors of metastasis only in the high-risk group. The 5-year metastasis-free survival was better in the low-risk group of distant metastases. Conclusions: Isolated BCH or dysplasia in small bronchi distant from foci of tumor isassociated with a high-risk distant metastasis and less 5-year metastasis-free survival. 
653 |a немелкоклеточный рак легкого 
653 |a поражение бронхов 
653 |a отдаленные метастазы 
653 |a безметастатическая выживаемость 
653 |a плоскоклеточная метаплазия 
655 4 |a статьи в журналах  |9 879358 
700 1 |a Pankova, Olga V.  |9 807144 
700 1 |a Tashireva, Liubov A.  |9 208091 
700 1 |a Rodionov, Evgeniy O.  |9 806749 
700 1 |a Miller, Sergey V.  |9 807146 
700 1 |a Tuzikov, Sergey A.  |9 807147 
700 1 |a Pismenny, Dmitry S.  |9 807148 
700 1 |a Gerashchenko, Tatiana S.  |9 96117 
700 1 |a Zavyalova, Marina V.  |9 96115 
700 1 |a Vtorushin, Sergey V.  |9 295269 
700 1 |a Denisov, Evgeny V.  |9 96114 
700 1 |a Perelmuter, Vladimir M.  |9 96116 
773 0 |t Frontiers in oncology  |d 2021  |g Vol. 11. P. 771802 (1-10)  |x 2234-943X 
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