Lung cancer in women - Sex-associated differences in survival of patients undergoing resection for lung cancer

Study objectives: The aim of this study was to analyze various characterist ics and survival in female patients treated surgically for lung cancer. Design: Retrospective clinical study. Patients: From 1,242 consecutive cases of primary non-small cell lung cance r treated with pulmonary resection between June 1984 and December 1998, 337 female patients (27.1%) were chosen. Results: Female patients had the following characteristics: a significantly younger age at onset (62.5 +/- 0.56 years vs 64.1 +/- 0.31 years for men), a higher frequency of adenocarcinoma (86.0% vs 48.3% for men), and smaller tumors (32.7 mm vs 38.3 mm in diameter for men). Peripheral tumors were si gnificantly more common in women than men (71.8% vs 50.6%, respectively). A mong 686 patients with a history of smoking, the women smoked significantly less often (12.8% vs 91.4% for men). Complete resection was achieved signi ficantly less often in women (79.6% vs 85.2% for men); however, women havin g complete resection survived significantly longer than their male counterp arts. Women with a postoperative negative carcinoembryonic antigen (CEA) ha d a significantly better prognosis than men; however, women with a postoper ative positive CEA did not. Women greater than or equal to 60 years old sur vived significantly longer than their male counterparts, while women < 60 y ears old did not. Conclusions: Once the tumor was resected completely, women survived longer, partly due to the influence of life expectancy. However, the incidence of malignant effusion was higher and the rate of complete resection was lower in women.