The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 4 , Pages 807-812 , April 2009

Gender difference in survival of resected non–small cell lung cancer: Histology-related phenomenon?

  • Jee Won Chang, MD

      Affiliations

    • Cheju National University Hospital, School of Medicine, Cheju National University, Jeju, South Korea
  • ,
  • Hisao Asamura, MD

      Affiliations

    • Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan
    • Corresponding Author InformationAddress for reprints: Hisao Asamura, MD, Division of Thoracic Surgery, National Cancer Center Hospital 1-1, Tsukiji 5-chome, Chuo-ku, Tokyo 104-0045, Japan.
  • ,
  • Riken Kawachi, MD

      Affiliations

    • Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan
  • ,
  • Shun-ichi Watanabe, MD

      Affiliations

    • Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan

Received 23 March 2008 ,Revised 25 August 2008 ,Accepted 12 September 2008.

  • Image Result

    Distribution of Noguchi's type for smaller adenocarcinoma according to gender. There are significantly more Noguchi's type A or B in women and more Noguchi's type D, E, or F in men.

    Distribution of Noguchi's type for smaller adenocarcinoma according to gender. There are significantly more Noguchi's type A or B in women and more Noguchi's type D, E, or F in men.

  • Image Result

    Survival curves according to gender. The overall 5-year survival is 81% for women (n = 1081) and 70% for men (n = 1689). Women show significantly better survival than men (P < .001).

    Survival curves according to gender. The overall 5-year survival is 81% for women (n = 1081) and 70% for men (n = 1689). Women show significantly better survival than men (P < .001).

  • Image Result

    Survival curves according to gender in adenocarcinoma (A) and non-adenocarcinoma (B). In adenocarcinoma, the overall 5-year survival is 75% for men (n = 1042) and 84% for women (n = 1012). This gender

    Survival curves according to gender in adenocarcinoma (A) and non-adenocarcinoma (B). In adenocarcinoma, the overall 5-year survival is 75% for men (n = 1042) and 84% for women (n = 1012). This gender difference is significant (P < .001). In non-adenocarcinoma, the overall 5-year survivals of men (n = 647) and women (n = 69) are 64% and 58%, respectively. This gender difference in survival is not significant (P = .299).

  • Image Result
    Survival curves according to gender of pathologic stage I in adenocarcinoma (A) and non-adenocarcinoma (B). The overall 5-year survival of pathologic I in adenocarcinoma for women is significantly bet

    Survival curves according to gender of pathologic stage I in adenocarcinoma (A) and non-adenocarcinoma (B). The overall 5-year survival of pathologic I in adenocarcinoma for women is significantly better than that for men (95% vs 87%, P < .001). There is no significant gender difference in survival of pathologic stage I in non-adenocarcinoma (79% vs 74%, P = .313).

  • Image Result
    Survival curves according to gender of pathologic stage II or higher in adenocarcinoma (A) and non-adenocarcinoma (B). There is a significant gender difference in survival in the subset of adenocarcin

    Survival curves according to gender of pathologic stage II or higher in adenocarcinoma (A) and non-adenocarcinoma (B). There is a significant gender difference in survival in the subset of adenocarcinoma (57% in women, 51% in men, P = .017), but not in non-adenocarcinoma (50% in men, 48% in women, P = .770).

  • Image Result
    Survival curves of propensity score matched-gender pairs. There is no significant gender difference in survival (P = .69).

    Survival curves of propensity score matched-gender pairs. There is no significant gender difference in survival (P = .69).

PII: S0022-5223(08)01574-2

doi: 10.1016/j.jtcvs.2008.09.026

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 4 , Pages 807-812 , April 2009