Research Article

Risk Factors for Fatal Pulmonary Hemorrhage following Concurrent Chemoradiotherapy in Stage 3B/C Squamous-Cell Lung Carcinoma Patients

Table 3

Uni- and multivariate correlates of fatal pulmonary hemorrhage in patients with tumor cavitation.

VariablePatients
(N=60)
FPH
(N=13)
Univariate P-valueMultivariate
P-value

Median TS, n (%)
 <5.1 cm27 (45.0)6 (22.2)0.68-
 ≥5.1 cm33 (54.0)7 (21.2)

Median TV, n (%)
 ≤58.9 cm326 (43.3)5 (19.2)0.57-
 >58.9 cm334 (56.7)8 (23.4)

Median CS, n (%)
 < 2.6 cm28 (46.7)6 (21.4)0.86-
 ≥ 2.6 cm32 (53.3)7 (21.9)

Median CV, n (%)
 < 22.3 cm327 (45.0)5 (18.5)0.23-
 ≥ 22.3 cm333 (55.0)8 (242

Median RCS, n (%)
 < 0.4631 (51.7)5 (16.1)0.09-
 ≥ 0.4629 (48.3)8 (27.6)

Ito’s RCS group, n (%)
 Minimum (≤0.25)10 (16.7)0 (0)0.0060.008
 Minor (≥0.25 but <0.50)21 (35.0)4 (19.0)
 Major (≥0.5)29 (48.3)9 (31.0)

RCV group, n (%)
 ≤0.1436 (55.0)4 (11.1)<0.001<0.001
 >0.1424 (45.0)9 (37.5)

Hemoptysis, n (%)
 Absent22 (36.7)3 (13.6)0.0070.009
 Present38 (63.3)10 (26.3)

Median values were used, as receiver operating characteristic analysis did not reveal significant cut-off.
FPH: fatal pulmonary hemorrhage; TS: tumor size; TV: tumor volume; CS: cavitation size; CV: cavitation volume; RCS: relative cavitation size (largest tumor diameter/largest cavitation diameter); RCV: relative cavitation volume (cavitation volume/tumor volume).