Lungscape: resected non-small-cell lung cancer outcome by clinical and pathological parameters.

Anna Wrona, Fiona H Blackhall, Rolf A Stahel (Collaborator), Rafael Rosell (Collaborator), Fiona Blackhall (Collaborator), Urania Dafni (Collaborator), Keith M Kerr (Collaborator), Miquel Taron (Collaborator), Miguel Ángel Molina (Collaborator), Lukas Bubendorf (Collaborator), Walter Weder (Collaborator), Erik Thunnissen (Collaborator), Solange Peters (Collaborator), Anita Hiltbrunner (Collaborator), Rosita Kammler (Collaborator), Marc Marbot (Collaborator), Rudolf Maibach (Collaborator), Barbara Ruepp (Collaborator), Marie Kassapian (Collaborator), Varvara Polydoropoulou (Collaborator)Stavroula Poulopoulou (Collaborator), Peter Meldgaard (Collaborator), Henrik Hager (Collaborator), Anette Højsgaard (Collaborator), Alex Soltermann (Collaborator), Verena Tischler (Collaborator), Martina Storz (Collaborator), Bart Vrugt (Collaborator), Martina Friess (Collaborator), Alessandra Curioni (Collaborator), Kenneth O'Byrne (Collaborator), Stephen Finn (Collaborator), Eilish McGovern (Collaborator), Vincent Young (Collaborator), Steven Gray (Collaborator), Cathy Enright (Collaborator), Kathy Gately (Collaborator), Jan Walker (Collaborator), Martin Barr (Collaborator), Johan Vansteenkiste (Collaborator), Eric Verbeken (Collaborator), Kristiaan Nackaerts (Collaborator), Christophe Dooms (Collaborator), Christel Oyen (Collaborator), Liesbet Peeters (Collaborator), Stefanie Lepers (Collaborator), Liesbet Vliegen (Collaborator), T Roskams (Collaborator), Sara Van Der Borght (Collaborator), Peter Vandenberghe (Collaborator), Rafal Dziadziuszko (Collaborator), Wojciech Biernat (Collaborator), Aleksandra Sejda (Collaborator), Witold Rzyman (Collaborator), Jacek Jassem (Collaborator), Alicja Maciejewska-Izdebska (Collaborator), Enriqueta Felip (Collaborator), Javier Hernandez-Losa (Collaborator), Irene Sansano (Collaborator), Mercedes Canela (Collaborator), Núria Murtra Garrell (Collaborator), Antonio Marchetti (Collaborator), Sara Malatesta (Collaborator), Felice Mucilli (Collaborator), Luciana Irtelli (Collaborator), Fiamma Buttitta (Collaborator), Spasenija Savic (Collaborator), Didier Lardinois (Collaborator), Alfred Zippelius (Collaborator), Marianne Nicolson (Collaborator), Hardy Remmen (Collaborator), David A J Stevenson (Collaborator), Nicola Price (Collaborator), Shun Lu (Collaborator), Zhang Jie (Collaborator), Qiang Tan (Collaborator), Zhiwei Cheng (Collaborator), Egbert Smit (Collaborator), Coralien van Setten (Collaborator), Anne-Marie Dingemans (Collaborator), Ernst-Jan M Speel (Collaborator), Jos Maessen (Collaborator), Matyas Bendek (Collaborator), Alex A Adjei (Collaborator), Richard Cheney (Collaborator), Mary Beth Pine (Collaborator), Mary Reid (Collaborator), Carl Morrison (Collaborator), Elizabeth Taylor (Collaborator), Daisuke Nonaka (Collaborator), Jade Harris (Collaborator), Andrew Wallace (Collaborator), Rajesh Shah (Collaborator), Yvonne Summers (Collaborator), Anne Marie Quinn (Collaborator), Richard Booton (Collaborator), Paul Baas (Collaborator), Jeroen de Jong (Collaborator), Houke Klomp (Collaborator), Marianne Mahn (Collaborator), Marieke Groot Obbink (Collaborator), Efraim H Rosenberg (Collaborator), Petra Nederlof (Collaborator), Carlos Camps (Collaborator), Eloisa Jantus-Lewintre (Collaborator)

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    Abstract

    INTRODUCTION: The Lungscape project was designed to address the impact of clinical, pathological, and molecular characteristics on outcome in resected non-small- cell lung cancer (NSCLC). MATERIALS AND METHODS: A decentralized biobank with fully annotated tissue samples was established. Selection criteria for participating centers included sufficient number of cases, tissue microarray building capability, and documented ethical approval. Patient selection was based on availability of comprehensive clinical data, radical resection between 2003 and 2009 with adequate follow-up, and adequate quantity and quality of formalin-fixed tissue. RESULTS: Fifteen centers contributed 2449 cases. The 5-year overall survival (OS) was 69.6% and 63.6% for stages IA and IB, 51.6% and 47.7% for stages IIA and IIB, and 29.0% and 13.0% for stages IIIA and IIIB, respectively (p <0.001). Median and 5-year relapse-free survival (RFS) were 52.8 months and 47.3%, respectively. Distant relapse was recorded for 44.4%, local for 26.0%, and both for 16.9% of patients. Based on multivariate analysis for the OS, RFS, and time to relapse, the factors significantly associated with all of them are performance status and pathological stage. CONCLUSION: The aim of this report is to present the results from Lungscape, the first large series reporting on NSCLC surgical outcome measured not only by OS but also by RFS and time to relapse and including multivariate analysis by significant clinical and pathological prognostic parameters. As tissue from all patients is preserved locally and is available for detailed molecular investigations, Lungscape provides an excellent basis to evaluate the influence of molecular parameters on the disease outcome after radical resection, besides providing an overview of the molecular landscape of stage I to III NSCLC.

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