Abstract

In this study 307 cases with early stage diagnosis of adenocarcinoma according to TNM 7 between 2011-2014 were retrospectively evaluated. Preoperative and postoperative clinicopathologic charecteristics were reviewed.Postoperative early stage 202 adenocarcinoma cases were included in the study.202 cases were divided into two groups as recurrent(n:83) and non-recurrent(n:119) groups.Age,smoking,solid dominant type adenocarcinoma histological pattern,high SUV involvement,no adjuvant treatment, pre-operative and post-operative tumor size(larger than 2.95 and 3.05, respectively),pre-post-operative advanced stage,post-operative N stage and lymphovascular invasion were found to be poor prognostic factors on recurrence.In the study,it was determined that frosted glass characterization on CT,receiving adjuvant treatment and low SUV involvement decreased the likelihood of recurrence,chemotherapy and low SUV involvement significantly delayed the time until recurrence.The limitations of our study were its long duration and the publication of TNM 8 staging immediately after the study.Therefore, we restaged our cases according to TNM 8.?n the new staging; we observed that tumors with ground glass characteristics,patients who were still smoking,patients with preoperative T1c and postoperative T1b, patients with preoperative stage 1B, and patients with lymphatic invasion were more likely to recur in the new staging.