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Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

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116 Volume Outcome <strong>KCE</strong> reports 113<br />

5.6.3.3 Pati<strong>en</strong>t and tumour characteristics<br />

The two main histological types are small cell lung cancer and non-small cell lung cancer<br />

(NSCLCa). 108 In accordance with the histological groups <strong>de</strong>fined by the International<br />

Ag<strong>en</strong>cy for Research on Cancer (IARC) these two types are <strong>de</strong>fined by the following<br />

ICD-O-3 co<strong>de</strong>s: 125<br />

• small cell lung carcinoma: 8041-8045, 8246<br />

• non-small cell lung cancer (NSCLCa) comprises the following groups:<br />

o squamous cell carcinoma: 8050-8078, 8083-8084<br />

o ad<strong>en</strong>ocarcinoma: 8140, 8211, 8230-8231, 8250-8260, 8323, 8480-<br />

8490, 8550-8551, 8570-8574, 8576<br />

o large cell carcinoma (inclu<strong>de</strong> giant cell, clear cell and large cell<br />

undiffer<strong>en</strong>tiated carcinoma): 8010-8012, 8014-8031, 8035 and<br />

8310.<br />

A <strong>de</strong>scription of TNM classification and TNM stages for lung cancer were <strong>de</strong>scribed by<br />

Lababe<strong>de</strong> et al. 238<br />

As shown in Table 5.65, mean age of pati<strong>en</strong>ts was 64.5 years (median is 66 years) and<br />

77% of them were m<strong>en</strong>. The predominant histological type of tumour was non-small cell<br />

lung (88.7%). Out of 902 <strong>op</strong>erated pati<strong>en</strong>ts with available stage information, more than<br />

half (56%) had stage 0 or 1 lung cancer.<br />

Table 5.65: Lung cancer surgery: Pati<strong>en</strong>t and tumour characteristics<br />

Number %<br />

Age (years)<br />

Mean/median 64.5/66.0<br />

Std 10.1<br />

Total 1206<br />

Sex<br />

Male 931 77.2<br />

Female 275 22.8<br />

Total 1206<br />

Tumour histology<br />

Small cell lung carcinoma 23 2.2<br />

Non-small cell lung cancer 934 88.6<br />

Other 97 9.2<br />

Total 1 054<br />

Tumour stage<br />

I 505 56.0<br />

II 185 20.5<br />

III 185 20.5<br />

IV 27 3.0<br />

Total 902

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