94P - Lung cancer in women, a different disease: Survival differences by sex

Date 17 April 2015
Event ELCC 2015
Session Poster lunch
Topics Non-Small-Cell Lung Cancer, Locally Advanced
Cancer in Special Situations
Presenter Arife Ulas
Citation Annals of Oncology (2015) 26 (suppl_1): 24-28. 10.1093/annonc/mdv049
Authors A. Ulas1, S.T. Tokluoglu2, M. Kös3, K. Silay4, S. Akinci5, B.O. Oksuzoglu6, N. Alkis2
  • 1Department Of Medical Oncology, Ankara Ataturk Research and Teaching Hospital, 06200 - Ankara/TR
  • 2Department Of Medical Oncology, Dr. Abdurrahman Yurtaslan Ankara Onkoloji Training and Resource Hospital, 06200 - Ankara/TR
  • 3Department Of Internal Medicine, Duzce University, Faculty of Medicine, Duzce/TR
  • 4Department Of Internal Medicine, Ankara Ataturk Research and Teaching Hospital, 06200 - Ankara/TR
  • 5Department Of Hematology, Ankara Ataturk Research and Teaching Hospital, 06200 - Ankara/TR
  • 6Department Of Medical Oncology, Dr. Abdurrahman Yurtaslan Ankara Onkoloji Training and Resource Hospital, Ankara/TR



In this study, we aimed to evaluate the effects of sex-based NSCLC varieties on survival rates.


A retrospective study was performed in patients with NSCLC who were diagnosed by histocytological methods between the years 2000 and 2010. A chi-square test was used to compare variables. A survival analysis of parameters that showed differences between men and women was made using Kaplan Meier's method.


Of the 844 patients, 117 (13.9%) were women and 727 (86.1%) were men. Adenocarcinoma was more common in women than in men (53.8% vs. 32.2%; P < 0.0001). There were more women non-smokers than men (70.9% versus 5.6%; P < 0.0001). There was no statistically significant difference in ECOG PS, weight loss > 10%, stage, LDH, albumin, treatment, and incidence of brain metastases between women and men. Based on the parameters that show differences between the two groups (including age of diagnosis, smoking, comorbidities, histopathology, hemoglobin level, and locations of metastases), the effect of gender on overall survival (OS) was evaluated. Women younger than 65 years (17.0 months vs. 12.0 months; P = 0.03), who had adenocarcinoma histology (15.0 months vs. 10.0 months; P = 0.006) and who had a hemoglobin level ≥ 12 g/dL (18.0 months vs. 12.0 months; P = 0.01) were found to have a better median OS rate than men. It was found that the presence of comorbidity affects survival negatively in females, while liver and brain metastases have a greater effect on male survival rates (P < 0.005). Median OS rates were found to be 13.0 months in females and 12.0 months in males (P = 0.14). Among metastatic patients, the median OS was 11.0 months in females and 8.0 months in males (P = 0.005). Among stage IIIB and stage IV patients who had first line platinum-based chemotherapy, the median OS was 17.0 months in women and 11.0 months in men (P = 0.002). The response rate of chemotherapy was higher in women than in men (31.6% vs. 17.7%, respectively; P = 0.03).


In our study, we found that survival duration is longer and chemotherapy response is better in women with non-small cell lung cancer who do not have anemia or comorbidities and who are mostly adenocarcinoma and non-smokers. Further studies regarding the causes of these differences may provide clarity on this subject.


All authors have declared no conflicts of interest.