Table 1 Demographic and clinical characteristics of 149 patients with SMADCs, grouped by IASLC/ATS/ERS classification of dominant tumor (DT).

From: Prognostic histologic subtyping of dominant tumor in resected synchronous multiple adenocarcinomas of lung

Group variables

 

Low-grade (lepidic; %)

Intermediate-grade (acinar, papillary; %)

High-grade (micropapillary, solid;%)

p value

Number

149 (100%)

32 (21.5)

87 (58.4)

30 (20.1)

 

Age (years old)

62.0 ± 10.8

58.5 ± 9.6

62.1 ± 11.1

65.6 ± 10.3

0.033

Gender

0.112

Male

54

7 (21.9)

33 (37.9)

14 (46.7)

 

Female

95

25 (78.1)

54 (62.1)

16 (53.3)

 

Smoking status (yes)

0.018

Previously or currently

41

5 (15.6)

22 (25.3)

14 (46.7)

 

Non-smoker

108

27 (84.4)

65 (74.7)

16 (53.3)

 

Preoperative CEA level (ng/mL)

0.030

≥ 6.0 ng/mL

22

3 (9.4)

10 (11.5)

9 (30.0)

 

< 6.0

127

29 (90.6)

77 (88.5)

21 (70.0)

 

Tumor size (cm)

2.26 ± 1.34

1.29 ± 0.69

2.35 ± 1.27

3.01 ± 1.47

< 0.001

Resected tumor number(s)

2.4 ± 1.0(2–9)

2.8 ± 1.2

2.6 ± 1.5

2.4 ± 1.0

0.436

Radiologic appearance of DT

< 0.001

Pure GGO

34

21 (65.6)

13 (14.9)

0

 

GGO-dominant

39

10 (31.3)

26 (29.9)

3 (10.0)

 

Solid-dominant

76

1 (3.1)

48 (55.2)

27 (90.0)

 

Laterality

0.172

Ipsilateral

111

27 (84.4)

60 (69.0)

24 (80.0)

 

Bilateral

38

5 (15.6)

27 (31.0)

6 (20.0)

 

Tumor location

0.800

At different lobe

100

20 (62.5)

60 (69.0)

20 (66.7)

 

At the same lobe

49

12 (37.5)

27 (31.0)

10 (33.3)

 

TNM stage (AJCC 8th)

< 0.001

pTis

12

12

0

0

 

pT1a

15

5

9

1

 

pT1b

21

3

18

0

 

pT1c

14

4

9

1

 

pT2a

74

8

45

21

 

pT2b

8

0

5

3

 

pT3

4

0

0

4

 

pT4

1

0

1

0

 

Pleural invasion

< 0.001

P0

71

24 (75.0)

41 (47.1)

6 (20.0)

 

P1 + P2 + P3

78

8 (25.0)

46 (52.9)

24 (80.0)

 

Differentiation

< 0.001

Well + moderate

97

31 (96.9)

61 (70.1)

5 (16.7)

 

Poorly

52

1 (3.1)

26 (29.9)

25 (83.3)

 

Lymphovascular invasion

< 0.001

Nil

119

32 (100)

72 (82.8)

15 (50.0)

 

Yes

30

0

15 (17.2)

15 (50.0)

 

Adjuvant chemotherapy

< 0.001

Nil

96

31 (96.9)

55 (63.2)

10 (33.3)

 

Yes

53

1 (3.1)

32 (36.8)

20 (66.7)

 

2nd dominant tumor

< 0.001

Non-invasive (lepidic)

81

32 (100)

43 (49.4)

6 (20.0)

 

Invasive (non-lepidic)

68

0

44 (50.6)

24 (80.0)

 
  1. DT dominant tumor of SMADCs, AIS adenocarcinoma in situ, MIA minimal invasive adenocarcinoma, CEA carcinoembryonic agent.