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• W2003014679 abstract "In Brief Objective: We aimed to assess the prognostic significance of microscopic vessel invasion (MVI) and visceral pleural invasion (VPI) in non–small cell lung cancer (NSCLC). Background: VPI is included in the current tumor-node-metastasis (TNM) classification in NSCLC; however, MVI is not incorporated in TNM classification. Methods: From August 1992 to December 2009, 2657 consecutive patients with pathological T1-4N0-2M0 NSCLC underwent complete resection. In addition to conventional staging factors, we evaluated MVI histologically and analyzed its significance in NSCLC recurrence prognosis. The recurrence-free period in several NSCLC subgroups was analyzed using the Kaplan-Meier method and Cox regression analysis. Results: The proportion of patients with a 5-year recurrence-free period was 52.6% and 87.5%, respectively, in those with and without MVI (P < 0.001). Multivariate analysis showed that MVI, similarly to VPI, was found to be an independently significant predictor of recurrence [hazard ratio (HR): 2.78]. In particular, MVI and VPI were the 2 strongest significant independent predictors of recurrence in 1601 patients with pathological stage I disease treated without adjuvant chemotherapy (HR: 2.74 and 1.84, respectively). In each T subgroup analysis, evident and significant separation of the recurrence-free proportion curves were observed among the 3 groups (VPI and MVI absent, VPI or MVI present, and VPI and MVI present). Conclusions: This study demonstrated that MVI was a significant independent risk factor for recurrence in patients with a resected T1-4N0-2M0 NSCLC. Further data on MVI prognostic impact should be collected for the next revision of the TNM staging system. We assessed the prognostic significance of microscopic vessel invasion (MVI) and visceral pleural invasion (VPI) in non–small cell lung cancer. MVI, similarly to VPI, was found to be a predictor of recurrence. Prognosis for recurrence evidently varies among the 3 groups (VPI/MVI absent, VPI/MVI present, and VPI or MVI present)." @default.
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• W2003014679 date "2014-08-01" @default.
• W2003014679 modified "2023-09-27" @default.
• W2003014679 title "Prognostic Impact of Microscopic Vessel Invasion and Visceral Pleural Invasion in Non–Small Cell Lung Cancer" @default.
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• W2003014679 doi "https://doi.org/10.1097/sla.0000000000000617" @default.
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