The survival rate analysis of 130 patients with nonsmall-cell lung can
cer who did not receive any specific anticancer therapy showed no stat
istically significant differences in the survival rates between variou
s TNM combinations classified into stage groups II, IIIa, IIIb, and IV
, as proposed by Mountain in 1989 and adopted by the American Joint Co
mmittee on Cancer. Following these findings, based on survival probabi
lities, two distinctive staging groups could be distinguished. The fir
st stage group was composed of only the T1, 2NO, MO combination, and t
he second of all other TNM combinations. In a purely biologic sense of
tumor growth, the lymph node involvement appeared to be the crucial f
actor determining the length of survival.