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- Title
Characteristics of Lung Cancer in Patients Younger than 40 Years: A Prospective Multicenter Analysis in France.
- Authors
Bigay-Gamé, Laurence; Bota, Suzanna; Greillier, Laurent; Monnet, Isabelle; Madroszyk, Anne; Corre, Romain; Mastroianni, Bénédicte; Falchero, Lionel; Mazières, Julien; Colineaux, Hélène; Lepage, Benoit; Chouaid, Christos
- Abstract
Objectives: The aim of this study was to describe the demographic and clinico-pathological characteristics of lung cancer in patients younger than 40 years. Materials and Methods: This was a prospective study performed within the Groupe Français de Pneumo-Cancérologie. Consecutive patients diagnosed with lung cancer before the age of 40 years were eligible. Data on demographics, medical history, clinico-pathological characteristics, treatment and overall survival were analysed. Results: In total, 146 patients were included from January 2011 to December 2013. Median age was 38 years (IQR: 34–40). Women accounted for 41%. Main histological type was adenocarcinoma (77%). Only 3% had a prior history of cancer, but a family history (first- or second-degree relatives) of cancer was reported in 80 (55%) patients; 85 and 50% were current or past smokers of tobacco and cannabis, respectively; 82% had stage IIIB/IV at diagnosis. Median overall survival was 15.3 (95% CI: 8.1–24.0) months in the whole population, 10.3 (95% CI: 12.5–14.2) months in stage IV and 15 (95% CI: 8.7–35.2) months in stage III. One- and two-year overall survival rates were 57% (95 CI: 49–65) and 31.5% (95 CI: 27–43), respectively. Compared to smokers, non-smokers were significantly younger and more often females. Median overall survival was not statistically different between smokers and non-smokers.
- Subjects
FRANCE; ADENOCARCINOMA; CANNABIS (Genus); CONFIDENCE intervals; LONGITUDINAL method; MEDICAL cooperation; RESEARCH; SEX distribution; LUNG tumors; SMOKING; SUBSTANCE abuse; SURVIVAL; TUMOR classification; SYMPTOMS; FAMILY history (Medicine); ADULTS; DIAGNOSIS; GENETICS; PROGNOSIS; TUMOR risk factors
- Publication
Oncology, 2018, Vol 95, Issue 6, p337
- ISSN
0030-2414
- Publication type
Article
- DOI
10.1159/000489784