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Lung cancer in never smokers. A survival analysis in a radon prone area

María Torres-Duran, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernandez, Jose Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Alvarez, Olalla Castro-Anon, Antonio Golpe-Gomez, Cristina Martinez, Roxyris Guzman-Taveras, Maria Jose Mejuto-Martí, Marta Nuñez-Fernández, Alberto Fernandez-Villar, Juan Miguel Barros-Dios
European Respiratory Journal 2015 46: PA4313; DOI: 10.1183/13993003.congress-2015.PA4313
María Torres-Duran
1Pneumology, EOXI - Vigo (CHUVI), Vigo, Spain
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Alberto Ruano-Ravina
2Preventive Medicine and Public Health, University of Santiago de COmpostela, Santiago de Compostela, Spain
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Isaura Parente-Lamelas
3Pneumology, Complexo Hospitalario de Ourense (CHOU), Ourense, Spain
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Virginia Leiro-Fernandez
1Pneumology, EOXI - Vigo (CHUVI), Vigo, Spain
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Jose Abal-Arca
3Pneumology, Complexo Hospitalario de Ourense (CHOU), Ourense, Spain
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Carmen Montero-Martínez
4Pneumology, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain
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Carolina Pena-Alvarez
5Medical Oncology, Complexo Hospitalario de Pontevedra (CHOP), Pontevedra, Spain
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Olalla Castro-Anon
6Pneumology, Hospital Universitario Lucus Augusta (HULA), Lugo, Spain
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Antonio Golpe-Gomez
7Pneumology, Complexo Hospitalario Universitario de Santiago (CHUS), Santiago de Compostela, Spain
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Cristina Martinez
8National Institute of Silicosis, Hospital Universitario de Asturias, Oviedo, Spain
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Roxyris Guzman-Taveras
8National Institute of Silicosis, Hospital Universitario de Asturias, Oviedo, Spain
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Maria Jose Mejuto-Martí
9Pneumology, Hospital Arquitecto Macide, Ferrol, Spain
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Marta Nuñez-Fernández
10Pneumology, Complexo Hospitalario de Pontevedra (CHOP), Pontevedra, Spain
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Alberto Fernandez-Villar
1Pneumology, EOXI - Vigo (CHUVI), Vigo, Spain
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Juan Miguel Barros-Dios
2Preventive Medicine and Public Health, University of Santiago de COmpostela, Santiago de Compostela, Spain
11Preventive Medicine and Public Health, Complejo Hospitalario Universitario de Santiago (CHUS), Santiago de Compostela, Spain
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Abstract

Introduction: Lung cancer is the first cause of cancer death in the world.In Spain up to 20% of lung cancer cases are diagnosed in never smokers.

Objective: The aim of our study is to analyze lung cancer survival in never smokers in Galicia(Spain),a radon prone area.

Material and Methods: Multicentre Hospital-based Case-control study (Study LCRINS-Lung Cancer Risk in Never Smokers),with 8 hospitals taking part.Cases:all consecutive lung cancer cases diagnosed in never smokers.Controls:Never smokers undergoing non-oncologic surgery. Recruitment:Jan-2011 to Dec-2013.A radon detector(alpha track) was placed in the bedroom of each participant for at least 3months.In cases, time of follow up and survival was analyzed by review of clinical records.

Results: 218 cases(80.7% women) were included.Most frequent type was adenocarcinoma(77.7%),5% SCLC.Stages at diagnosis:IV:53.5%,IIIB:5%,IIIA:11%,II:5%,I:11.6%.Median survival:13months(ICR:6.2-22.6).162 cases had a radon measurement at home:34,6% were exposed to>200Bq/m3.No differences in survival by gender or radon exposure.Survival by TNM Stage is shown in Table 1. Table 2 shows survival by histologic type.

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Table 1.

Survival by TNM Stage

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Table 2.

Survival by histological type

Conclussions: Lung cancer survival in never smokers is poor.The lowest survival was seen in squamous carcinoma.Residential radon concentration doesn´t seem to influence survival.

  • Lung cancer / Oncology
  • Environment
  • Neoplastic diseases
  • Copyright ©ERS 2015
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Lung cancer in never smokers. A survival analysis in a radon prone area
María Torres-Duran, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernandez, Jose Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Alvarez, Olalla Castro-Anon, Antonio Golpe-Gomez, Cristina Martinez, Roxyris Guzman-Taveras, Maria Jose Mejuto-Martí, Marta Nuñez-Fernández, Alberto Fernandez-Villar, Juan Miguel Barros-Dios
European Respiratory Journal Sep 2015, 46 (suppl 59) PA4313; DOI: 10.1183/13993003.congress-2015.PA4313

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Lung cancer in never smokers. A survival analysis in a radon prone area
María Torres-Duran, Alberto Ruano-Ravina, Isaura Parente-Lamelas, Virginia Leiro-Fernandez, Jose Abal-Arca, Carmen Montero-Martínez, Carolina Pena-Alvarez, Olalla Castro-Anon, Antonio Golpe-Gomez, Cristina Martinez, Roxyris Guzman-Taveras, Maria Jose Mejuto-Martí, Marta Nuñez-Fernández, Alberto Fernandez-Villar, Juan Miguel Barros-Dios
European Respiratory Journal Sep 2015, 46 (suppl 59) PA4313; DOI: 10.1183/13993003.congress-2015.PA4313
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