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ORIGINAL ARTICLE Prognostic Stratification of Stage IIIA pN2 Non-small Cell Lung Cancer by Hierarchical Clustering Analysis of Tissue Microarray Immunostaining Data An Alpe Adria Thoracic Oncology Multidisciplinary Group Study (ATOM 014) Francesco Grossi, MD,* Riccardo Spizzo, MD, PhD,† Domenico Bordo, PhD,‡ Veronica Cacitti, MD,§ Francesca Valent, MD, Ciro Rossetto, MD,¶ Alessandro Follador, MD,¶ Silvia Di Terlizzi, MD,¶ Marianna Aita, MD,¶ Angelo Morelli, MD,# Gianpiero Fasola, MD,¶ Clara Consiglieri, PhD,‡ Tino Ceschia, MD,¶ Carlo A. Beltrami, MD,§ and Ornella Belvedere, MD¶** 0.042). In multivariate analysis, cyclin D1 was the only positive Introduction: Stage IIIA non-small cell lung cancer (NSCLC) with prognostic factor (p 0.0001). Unsupervised hierarchical clustering ipsilateral mediastinal lymph node metastases (N2) is a heteroge- analysis of TMA immunostaining data identified five distinct clusters. neous disease with differing prognoses. In this study, we retrospec- They formed two subsets of patients with better (clusters 1 and 2) and tively investigated the prognostic value of the expression of 10 worse (clusters 3, 4, and 5) prognoses, and median survival of 51 and molecular markers in 87 patients with stage IIIA pN2 NSCLC 10 months, respectively (p 0.0001). The better prognosis subset treated with radical surgery. mainly comprised patients with
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Sep 1, 2010
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