2019, Number 3
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salud publica mex 2019; 61 (3)
Characteristics of non-small cell lung cancer: differences by sex and hormonal status in a Mexican population
Rodríguez-Lara, Vianey; Ramírez-Tirado, Laura Alejandra; Barrón, Feliciano; Zatarain-Barrón, Zyanya Lucía; Flores-Estrada, Diana; Arrieta, Oscar
Language: English
References: 42
Page: 265-275
PDF size: 426.36 Kb.
ABSTRACT
Objective. To analyze the differences in the clinico-pathological
and molecular characteristics of non-small cell lung
cancer (NSCLC) as well as the clinical outcome of patients
by sex and hormonal status.
Materials and methods.
We performed a retrospective study among 1 104 NSCLC
patients. Clinic-pathologic data was recorded and survival
outcomes were compared between male and female sex
patients, and further by pre and postmenopausal status in females.
Results. Women were significantly more likely to be
non-smokers (
p‹0.001), had higher frequency of wood-smoke
exposure (
p‹0.001), EGFR-sensitizing mutations (
p‹0.001),
had better performance status (
p=0.020) and had a better
overall survival (OS) compared to men (
p=0.021). Differences
were found also by hormonal status, postmenopausal women
had a longer OS compared to premenopausal women (31.1
vs. 19.4 months
p=0.046).
Conclusion. Our results support
the differences in lung cancer presentation by sex and also
by hormonal status.
REFERENCES
Organización Mundial de la Salud. Cáncer. Ginebra: OMS, 2018. [citado mayo 4, 2018]. Disponible en: http://www.who.int/es/news-room/factsheets/ detail/cancer
Gomez-Dantes H, Lamadrid-Figueroa H, Cahuana-Hurtado L, Silverman- Retana O, Montero P, Gonzalez-Robledo MC, et al. The burden of cancer in Mexico, 1990-2013. Salud Publica Mex. 2016;58(2):118-31. https://doi. org/10.21149/spm.v58i2.7780
Borja-Aburto VH, Davila-Torres J, Rascon-Pacheco RA, Gonzalez- Leon M, Fernandez-Garate JE, Mejia-Rodriguez I, et al. Cancer mortality in the Mexican Social Security Institute, 1989-2013. Salud Publica Mex. 2016;58(2):153-61. https://doi.org/10.21149/spm.v58i2.7784
Hernandez-Garduno E, Ocana-Servin HL. Lung cancer mortality trends in Mexico, 1999-2014. Salud Publica Mex. 2018;60(3):366-9. https://doi. org/10.21149/8730
Tovar-Guzman VJ, Lopez-Antunano FJ, Rodriguez-Salgado N. Trends in mortality from lung cancer in Mexico, 1980-2000. Rev Panam Salud Publica. 2005;17(4):254-62.
Malvezzi M, Bosetti C, Chatenoud L, Rodriguez T, Levi F, Negri E, La Vecchia C. Trends in cancer mortality in Mexico, 1970-1999. Ann Oncol. 2004;15(11):1712-8. https://doi.org/10.1093/annonc/mdh424
Rowell TR, Tarran R. Will chronic e-cigarette use cause lung disease? Am J Physiol Lung Cell Mol Physiol. 2015;309(12):L1398-409. https://doi. org/10.1152/ajplung.00272.2015
Li Y, Shi J, Yu S, Wang L, Liu J, Ren J, et al. Health Economic Evaluation Working Group CSPiUC. Effect of socioeconomic status on stage at diagnosis of lung cancer in a hospital-based multicenter retrospective clinical epidemiological study in China, 2005-2014. Cancer Med. 2017;6(10):2440- 52. https://doi.org/10.1002/cam4.1170
Frumkin H, Samet JM, Radon CA. Cancer J Clin. 2001;51(6):337-44, 322; quiz 345-338. https://doi.org/10.3322/canjclin.51.6.337
Knaul FM, Gonzalez-Pier E, Gomez-Dantes O, Garcia-Junco D, Arreola- Ornelas H, Barraza-Llorens M, et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet. 2012;380(9849):1259- 79. https://doi.org/10.1016/S0140-6736(12)61068-X
Gildea TR, DaCosta-Byfield S, Hogarth DK, Wilson DS, Quinn CC. A retrospective analysis of delays in the diagnosis of lung cancer and associated costs. Clinicoecon Outcomes Res. 2017;9:261-9. https://doi. org/10.2147/CEOR.S132259
McGuire A, Martin M, Lenz C, Sollano JA. Treatment cost of nonsmall cell lung cancer in three European countries: comparisons across France, Germany, and England using administrative databases. J Med Econ. 2015;18(7):525-32. https://doi.org/10.3111/13696998.2015.1032974
Instituto Nacional de Estadística y Geografía. Mortalidad. México: INEGI, 2018. [citado mayo 21, 2018]. Disponible en: https://www.inegi.org. mx/temas/mortalidad/default.html#Informacion_general
Arroyave-Loaiza MG. Grupos relacionados con el diagnóstico: Producto Hospitalario, GRD-IMSS: 2014. Ciudad de México: IMSS, 2016.
Arroyave-Loaiza MG, Amador-Vázquez L, Lara-Gómez JE, Rodríguez- Díaz Ponce MA, Dávila-Torres J. Grupos relacionados con la atención ambulatoria de las enfermedades endocrinas, nutricionales y metabólicas EGRAA. Ciudad de México: IMSS, 2014.
Reynales-Shigematsu LM. Tobacco and cancer: epidemiology and new perspectives of prevention and monitoring in Mexico. Salud Publica Mex. 2016;58(2):251-60. https://doi.org/10.21149/spm.v58i2.7794
American Cancer Society. Cancer Facts & Figures. USA: American Cancer Society, 2018. [citado agosto 22, 2018]. Disponible en: https://www. cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/ annual-cancer-facts-and-figures/2018/cancer-facts-and-figures-2018.pdf
Zhi XY, Zou XN, Hu M, Jiang Y, Jia MM, Yang GH. Increased lung cancer mortality rates in the chinese population from 1973-1975 to 2004-2005: an adverse health effect from exposure to smoking. Cancer. 2015;1:3107- 12. https://doi.org/10.1002/cncr.29603
Boffetta P, La Vecchia C, Levi F, Lucchini F. Mortality patterns and trends for lung cancer and other tobacco-related cancers in the Americas, 1955-1989. Int J Epidemiol. 1993; 22(3):377-84. https://doi. org/10.1093/ije/22.3.377
Borja-Aburto VH, Sousa-Santana V. Environmental and social determinants of health. Work and health in the Americas. Washington DC: PAHO, 2016. [citado mayo 15, 2018]. Disponible en: https://www.paho.org/blogs/ paltex/wp-content/uploads/2016/06/preliminares_english_finkelman.pdf
Alberg AJ, Shopland DR, Cummings KM. The 2014 Surgeon General’s report: commemorating the 50th Anniversary of the 1964 Report of the Advisory Committee to the US Surgeon General and updating the evidence on the health consequences of cigarette smoking. Am J Epidemiol. 2014;179(4):403-12. https://doi.org/10.1093/aje/kwt335
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM). Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016-2017: Reporte de Tabaco. CDMX: Secretaría de Salud, 2017. [citado mayo 15, 2018]. Disponible en: https://www.gob.mx/salud%7Cconadic/acciones-yprogramas/ encuesta-nacional-de-consumo-de-drogas-alcohol-y-tabacoencodat- 2016-2017-136758
Arrieta O, Lopez-Mejia M, Macedo-Perez EO, Corona-Cruz JF. Proposals for the prevention of lung cancer in the health system of Mexico. Salud Publica Mex. 2016;58(2):274-8. https://doi.org/10.21149/spm.v58i2.7796
Ruiz-Godoy L, Rizo-Rios P, Sanchez-Cervantes F, Osornio-Vargas A, Garcia-Cuellar C, Meneses Garcia A. Mortality due to lung cancer in Mexico. Lung Cancer. 2007;58(2):184-90. https://doi.org/10.1016/j. lungcan.2007.06.007
Yuan P, Cao JL, Rustam A, Zhang C, Yuan XS, Bao FC, et al. Time-to- Progression of NSCLC from Early to Advanced Stages: An Analysis of data from SEER Registry and a Single Institute. Sci Rep. 2016;6:28477. https:// doi.org/10.1038/srep28477
Wao H, Mhaskar R, Kumar A, Miladinovic B, Djulbegovic B. Survival of patients with non-small cell lung cancer without treatment: a systematic review and meta-analysis. Syst Rev. 2013;2:10. https://doi. org/10.1186/2046-4053-2-10
Knaul FM, Arreola-Ornelas H, Wong R, Lugo-Palacios DG, Mendez- Carniado O. The effect of Seguro Popular de Salud on catastrophic and impoverishing expenditures in Mexico, 2004-2012. Salud Publica Mex. 2018;60(2):130-40. https://doi.org/10.21149/9064
Pichon-Riviere A, Bardach A, Augustovski F, Alcaraz A, Reynales-Shigematsu LM, Pinto MT, et al. Financial impact of smoking on health systems in Latin America: A study of seven countries and extrapolation to the regional level. Rev Panam Salud Publica. 2016;40(4):213-221.
Valdes-Salgado R, Avila-Tang E, Stillman FA, Wipfli H, Samet JM. Leyes que prohiben fumar en espacios cerrados en México. Salud Publica Mex. 2008;50(supl 3):S334-42. trials. J Clin Oncol. 2007;25(suppl 18):7549. https://doi.org/10.1200/ jco.2007.25.18_suppl.7549 22. Rodriguez-Lara V, Pena-Mirabal E, Baez-Saldana R, Esparza-Silva AL, Garcia-Zepeda E, Cerbon Cervantes MA, et al. Estrogen receptor beta and CXCR4/CXCL12 expression: differences by sex and hormonal status in lung adenocarcinoma. Arch Med Res. 2014;45(2):158-69. https://doi. org/10.1016/j.arcmed.2014.01.001 23. Wong MCS, Lao XQ, Ho KF, Goggins WB, Tse SLA. Incidence and mortality of lung cancer: global trends and association with socioeconomic status. Sci Rep. 2017;7:14300. https://doi.org/10.1038/s41598-017-14513-7 24. Lumsden MA, Davies M, Sarri G, for the Guideline Development Group for Menopause: Diagnosis and Management (NICE Clinical Guideline No. 23). Diagnosis and Management of Menopause: The National Institute of Health and Care Excellence (NICE) Guideline. JAMA Intern Med. 2016;176(8):1205-6. https://doi.org/10.1001/jamainternmed.2016.2761 25. World Health Organization. Guidelines for Controlling and Monitoring the Tobacco Epidemic. Geneva: WHO, 1998. 26. Arrieta O. Suppl files characteristics of non-small cell lung cancer. Differences by sex and hormonal status in a Mexican population. Dataverse 2019. https://doi.org/10.7910/DVN/PAVQ3T 27. Arrieta O, Martinez-Barrera L, Trevino S, Guzman E, Castillo-Gonzalez P, Rios-Trejo MA, et al. Wood-smoke exposure as a response and survival predictor in erlotinib-treated non-small cell lung cancer patients: an open label phase II study. J Thorac Oncol. 2008;3(8):887-93. https://doi. org/10.1097/JTO.0b013e31818026f6 28. Hernandez-Garduno E, Brauer M, Perez-Neria J, Vedal S. Wood smoke exposure and lung adenocarcinoma in non-smoking Mexican women. Int J Tuberc Lung Dis. 2004;8(3):377-83. 29. Tseng CH, Chiang CJ, Tseng JS, Yang TY, Hsu KH, Chen KC, et al. EGFR mutation, smoking, and gender in advanced lung adenocarcinoma. Oncotarget. 2017;8:98384-93. https://doi.org/10.18632/oncotarget.21842
Nan X, Xie C, Yu X, Liu J. EGFR TKI as first-line treatment for patients with advanced EGFR mutation-positive non-small-cell lung cancer. Oncotarget. 2017;8:75712-26. https://doi.org/10.18632/oncotarget.20095
Sepesi B, Gold KA, Correa AM, Heymach JV, Vaporciyan AA, Roszik J, et al. The influence of body mass index on overall survival following surgical resection of non-small cell lung cancer. J Thorac Oncol. 2017;12(8):1280-7. https://doi.org/10.1016/j.jtho.2017.05.010
Niikawa H, Suzuki T, Miki Y, Suzuki S, Nagasaki S, Akahira J, et al. Intratumoral estrogens and estrogen receptors in human non-small cell lung carcinoma. Clin Cancer Res. 2008;14(14):4417-26. https://doi. org/10.1158/1078-0432.CCR-07-1950
Mah V, Marquez D, Alavi M, Maresh EL, Zhang L, Yoon N, et al. Expression levels of estrogen receptor beta in conjunction with aromatase predict survival in non-small cell lung cancer. Lung Cancer. 2011;74(2):318-25. https://doi.org/10.1016/j.lungcan.2011.03.009
Deng F, Li M, Shan WL, Qian LT, Meng SP, Zhang XL, Wang BL. Correlation between epidermal growth factor receptor mutations and the expression of estrogen receptor-beta in advanced non-small cell lung cancer. Oncol Lett. 2017;13(4):2359-65. https://doi.org/10.3892/ol.2017.5711
Chen XQ, Zheng LX, Li ZY, Lin TY. Clinicopathological significance of oestrogen receptor expression in non-small cell lung cancer. J Int Med Res. 2017;45(1):51-8. https://doi.org/10.1177/0300060516666229
Stabile LP, Lyker JS, Gubish CT, Zhang W, Grandis JR, Siegfried JM. Combined targeting of the estrogen receptor and the epidermal growth factor receptor in non-small cell lung cancer shows enhanced antiproliferative effects. Cancer Res. 2005;65(4):1459-70. https://doi.org/10.1158/0008- 5472.CAN-04-1872
Giovannini M, Belli C, Villa E, Gregorc V. Estrogen receptor (ER) and epidermal growth factor receptor (EGFR) as targets for dual lung cancer therapy: not just a case? J Thorac Oncol. 2008;3(3):684-5. https://doi. org/10.1097/JTO.0b013e3181757aec
Marquez-Garban DC, Chen HW, Goodglick L, Fishbein MC, Pietras RJ. Targeting aromatase and estrogen signaling in human non-small cell lung cancer. Ann N Y Acad Sci. 2009;1155(1):194-205. https://doi.org/10.1111/ j.1749-6632.2009.04116.x
Nose N, Sugio K, Oyama T, Nozoe T, Uramoto H, Iwata T, et al. Association between estrogen receptor-beta expression and epidermal growth factor receptor mutation in the postoperative prognosis of adenocarcinoma of the lung. J Clin Oncol. 2009;27(3):411-7. https://doi.org/10.1200/ JCO.2008.18.3251
Tang H, Liao Y, Zhang C, Chen G, Xu L, Liu Z, et al. Fulvestrantmediated inhibition of estrogen receptor signaling slows lung cancer progression. Oncol Res. 2014;22(1):13-20. https://doi.org/10.3727/096504 014X14077751730315
Wen S, Fu X, Li G, He L, Zhao C, Hu X, et al. Efficacy of tamoxifen in combination with docetaxel in patients with advanced non-small-cell lung cancer pretreated with platinum-based chemotherapy. Anticancer Drugs. 2016;27(5):447-56. https://doi.org/10.1097/CAD.0000000000000350
Rosell J, Nordenskjold B, Bengtsson NO, Fornander T, Hatschek T, Lindman H, et al. Long-term effects on the incidence of second primary cancers in a randomized trial of two and five years of adjuvant tamoxifen. Acta Oncol. 2017;56(4):614-7. https://doi.org/10.1080/028418 6X.2016.1273547