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ORIGINAL ARTICLE The Impact of Cigarette Smoking on Prognosis in Small Adenocarcinomas of the Lung: The Association Between Histologic Subtype and Smoking Status Yukinori Sakao, MD, PhD, Hideaki Miyamoto, MD, PhD, Shiaki Oh, MD, Nobumasa Takahashi, MD, Tomoya Inagaki, MD, Yoshikazu Miyasaka, MD, Taku Akaboshi, MD, and Motoki Sakuraba, MD, PhD sive biologic features resulting in poorer outcome compared with Objective: In this retrospective study, we clarified the impact of other subtypes. smoking on prognosis and the association of clinicopathological Key Words: Smoking, Histologic subtype, Small adenocarcinoma, factors, particularly histologic subtype, in patients with small ade- Lung. nocarcinoma of the lung. Methods: Between 1996 and December 2006, 121 patients present- (J Thorac Oncol. 2008;3: 958–962) ing with adenocarcinomas that had a diameter 2 cm were ana- lyzed. The clinicopathological records of the patients were examined for age, gender, nodal status (c-N and p-N), tumor size, serum t is well known that cigarette smoking strongly increases carcinoembryonic antigen level, histologic subtype, and smoking Ithe risk of lung cancer. Adenocarcinoma of the lung, once history. A histologic subtype was defined using a modified World considered minimally related to cigarette smoking, has be- Health Organization classification. These subtypes are bronchioloal- come the
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Sep 1, 2008
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