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Open Access 01-09-2017 | Original Article

Effect of collagen vascular disease-associated interstitial lung disease on the outcomes of lung cancer surgery

Authors: Hideyuki Maeda, Masato Kanzaki, Kei Sakamoto, Tamami Isaka, Kunihiro Oyama, Masahide Murasugi, Takamasa Onuki

Published in: Surgery Today | Issue 9/2017

Abstract

Purpose

This study compared the effect of collagen vascular disease-associated interstitial lung disease (CVD-ILD) with that of idiopathic interstitial pneumonias (IIPs) on the outcomes of lung cancer surgery.

Methods

This study retrospectively reviewed the medical records of patients who underwent surgery for non-small cell lung cancer (NSCLC) and compared the data of 16 patients with CVD-ILD with those of 70 patients with IIPs. The patterns of interstitial lung disease (ILD) on chest computed tomography were classified into usual interstitial pneumonia (UIP) and non-specific interstitial pneumonia (NSIP) patterns.

Results

The numbers of UIP and NSIP patterns were 10 (62.5%) and 6 (37.5%) patients in CVD-ILD group, and 62 (88.6%) and 8 (11.4%) patients in IIPs group, respectively. A postoperative acute exacerbation (AE) appeared in 1 patient (6.3%) in the CVD-ILD group and 6 patients (8.6%) in the IIPs group. No significant differences in the incidence of postoperative AE and mortalities were observed between the two groups. The five-year overall survival rates of the CVD-ILD and IIPs groups were 37.5 and 49.2%, respectively.

Conclusions

Surgery for NSCLC in CVD-ILD patients appear to cause no increase in postoperative AE and mortality in comparison to that seen in IIPs patients. Similar to IIPs, CVD-ILD might therefore affect the prognosis of resected NSCLC.

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Title: Effect of collagen vascular disease-associated interstitial lung disease on the outcomes of lung cancer surgery
Authors: Hideyuki Maeda
Masato Kanzaki
Kei Sakamoto
Tamami Isaka
Kunihiro Oyama
Masahide Murasugi
Takamasa Onuki
Publication date: 01-09-2017
Publisher: Springer Japan
Published in: Surgery Today / Issue 9/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-017-1476-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of collagen vascular disease-associated interstitial lung disease on the outcomes of lung cancer surgery

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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