Research Article

Prognostic Nomogram and Therapeutic Option of Cancer-Specific Death in the Patients with Metachronous Second Primary Lung Cancer

Table 1

The detailed demographic and clinical characteristics of study population.

Survival status-value
AliveCause-specific deathOther-specific death

N582538180
Age(years)72.0 (66.0–77.0)74.0 (68.0–80.0)73.0 (66.8–80.0)<0.001

Age0.062
 <65 years120 (20.6%)82 (15.2%)31 (17.2%)
 ≥65 years462 (79.4%)456 (84.8%)149 (82.8%)

Sex<0.001
 Female373 (64.1%)281 (52.2%)103 (57.2%)
 Male209 (35.9%)257 (47.8%)77 (42.8%)

Marital status0.009
 Unmarried250 (43.0%)264 (49.1%)77 (42.8%)
 Married332 (57.0%)274 (50.9%)103 (57.2%)

Race0.405
 Other37 (6.4%)22 (4.1%)7 (3.9%)
 Black74 (12.7%)77 (14.3%)24 (13.3%)
 White471 (80.9%)439 (81.6%)149 (82.8%)

Laterality (SPLC)0.672
 Left265 (45.5%)231 (42.9%)81 (45.0%)
 Right317 (54.5%)307 (57.1%)99 (55.0%)

Primary site (SPLC)0.006
 Main7 (1.2%)25 (4.6%)2 (1.1%)
 Upper302 (51.9%)292 (54.3%)92 (51.1%)
 Middle49 (8.4%)35 (6.5%)17 (9.4%)
 Low224 (38.5%)186 (34.6%)69 (38.3%)

Histology (SPLC)<0.001
 Small cell carcinoma17 (2.9%)92 (17.1%)10 (5.6%)
 Large cell carcinoma16 (2.7%)21 (3.9%)6 (3.3%)
 Squamous cell carcinoma116 (19.9%)145 (27.0%)58 (32.2%)
 Adenocarcinoma381 (65.5%)243 (45.2%)95 (52.8%)
 Other52 (8.9%)37 (6.9%)11 (6.1%)

Tumor size (SPLC)<0.001
 ≤2 cm368 (63.2%)192 (35.7%)89 (49.4%)
 >2 cm214 (36.8%)346 (64.3%)91 (50.6%)

AJCC N, 6th ed (SPLC)<0.001
N0536 (92.1%)333 (61.9%)145 (80.6%)
N113 (2.2%)40 (7.4%)14 (7.8%)
N225 (4.3%)121 (22.5%)19 (10.6%)
N38 (1.4%)44 (8.2%)2 (1.1%)

AJCC M, 6th ed(SPLC)<0.001
M0555 (95.4%)405 (75.3%)157 (87.2%)
M127 (4.6%)133 (24.7%)23 (12.8%)

AJCC T, 6th ed(SPLC)<0.001
T1386 (66.3%)229 (42.6%)98 (54.4%)
T2103 (17.7%)160 (29.7%)43 (23.9%)
T311 (1.9%)26 (4.8%)5 (2.8%)
T482 (14.1%)123 (22.9%)34 (18.9%)

Tumor stage (SPLC)<0.001
 I450 (77.3%)246 (45.7%)115 (63.9%)
 II24 (4.1%)29 (5.4%)14 (7.8%)
 III81 (13.9%)130 (24.2%)28 (15.6%)
 IV27 (4.6%)133 (24.7%)23 (12.8%)

SEER combined summary Stage (SPLC)<0.001
 Localized403 (69.2%)220 (40.9%)99 (55.0%)
 Regional140 (24.1%)150 (27.9%)49 (27.2%)
 Distant39 (6.7%)168 (31.2%)32 (17.8%)

Chemotherapy (SPLC)<0.001
 Yes100 (17.2%)201 (37.4%)42 (23.3%)
 No/unknown482 (82.8%)337 (62.6%)138 (76.7%)

Radiation/surgery (SPLC)<0.001
 Surgery alone315 (54.1%)134 (24.9%)66 (36.7%)
 Radiation173 (29.7%)158 (29.4%)63 (35.0%)
 Radiation + surgery46 (7.9%)65 (12.1%)16 (8.9%)
 No48 (8.2%)181 (33.6%)35 (19.4%)

Primary site (IPLC)0.004
 Main2 (0.3%)10 (1.9%)1 (0.6%)
 Upper364 (62.5%)345 (64.1%)105 (58.3%)
 Middle33 (5.7%)51 (9.5%)13 (7.2%)
 Low183 (31.4%)132 (24.5%)61 (33.9%)

Laterality (IPLC)0.539
 Left268 (46.0%)236 (43.9%)75 (41.7%)
 Right314 (54.0%)302 (56.1%)105 (58.3%)

Histology (IPLC)<0.001
 Small cell carcinoma29 (5.0%)27 (5.0%)5 (2.8%)
 Large cell carcinoma24 (4.1%)30 (5.6%)17 (9.4%)
 Squamous cell carcinoma108 (18.6%)162 (30.1%)52 (28.9%)
 Adenocarcinoma367 (63.1%)269 (50.0%)93 (51.7%)
 Other54 (9.3%)50 (9.3%)13 (7.2%)

Histology of IPLC and SPLC<0.001
 Different410 (70.4%)433 (80.5%)135 (75.0%)
 Same172 (29.6%)105 (19.5%)45 (25.0%)
 Interval time of IPLC and SPLC(months)70.0 (58.0–90.0)68.0 (55.2–83.8)67.0 (56.0–82.2)0.003

Tumor stage (IPLC)0.045
 I416 (77.0%)382 (78.1%)116 (69.0%)
 II29 (5.4%)28 (5.7%)21 (12.5%)
 III82 (15.2%)67 (13.7%)26 (15.5%)
 IV13 (2.4%)12 (2.5%)5 (3.0%)

Chemotherapy (IPLC)0.397
 Yes149 (25.6%)154 (28.6%)44 (24.4%)
 No/unknown433 (74.4%)384 (71.4%)136 (75.6%)

Radiation/surgery (SPLC)<0.001
 Surgery alone502 (86.3%)414 (77.0%)146 (81.1%)
 Radiation27 (4.6%)65 (12.1%)12 (6.7%)
 Radiation + surgery42 (7.2%)45 (8.4%)18 (10.0%)
 No11 (1.9%)14 (2.6%)4 (2.2%)

Follow-up time (months)30.0 (19.0–46.0)12.0 (5.0–24.0)17.0 (7.0–31.2)<0.001

Note. IPLC, initial primary lung cancer; SPLC, second primary lung cancer.