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Your long-term outcome (prognosis) depends on the type and stage of your lung cancer. The 5-year survival rate means the percentage of people who are still alive 5 years or longer after their cancer was discovered. It is important to remember that these are only averages. Everyone's case is different, and these numbers do not necessarily show what will happen to you. The overall 5-year survival rate of 15% is low, because lung cancer is often not detected until it has reached an advanced stage.1
Non–small cell lung cancer generally grows and spreads more slowly than small cell lung cancer. The survival rates decrease as the stage of cancer involves lymph nodes or other body organs. In general, survival rates are as shown in the table below:2
| Stage | Tumor, node, metastasis (TNM) staging | 5-year survival rate |
|---|---|---|
|
IA |
T1, N0, M0 |
More than 70% |
|
IB |
T2, N0, M0 |
60% |
|
IIA |
T1, N1, M0 |
50% |
|
IIB |
T2, N1, M0 |
30% |
|
T3, N0–N1, M0 |
40% |
|
|
IIIA |
T1–T3, N2, M0 |
10%–30% |
|
IIIB |
Any T4, any N3, M0 |
Less than 10% |
|
IV |
Any M1 |
Less than 5% |
Recurrent non–small cell lung cancer survival rates
Your prognosis with non–small cell lung cancer that comes back (recurrent cancer) depends on the stage of your lung cancer when it was first diagnosed, as well as the stage of your cancer when it recurs in the lungs. Treatment for recurrent cancer is based on the stage of the cancer at the time it comes back.
Small cell lung cancer is less common than non–small cell cancer but grows very rapidly in most cases and is more likely to spread to other organs. Small cell lung cancer may be staged as limited or extensive. Limited small cell cancer is found only in one lung and in nearby lymph nodes. Extensive small cell cancer has spread (metastasized) outside of the lung to other tissues in the chest or to other parts of the body. Only about one-third of people with small cell cancer have limited disease at the time they are diagnosed, while two-thirds have extensive disease. In general, survival rates are as shown:4
| Stage | Survival rate with treatment |
|---|---|
|
Limited |
2-year: About 40% |
|
Extensive |
2-year: Less than 5% |
Recurrent small cell lung cancer survival rates
People whose lung cancer returns after it is treated have a poor prognosis, with most people living only 2 to 3 months after they are diagnosed with recurrent disease.
Citations
- National Comprehensive Cancer Network (2010). Non–Small Cell Lung Cancer, version 2.2010. Available online: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.
- Spira A, Ettinger DS (2004). Multidisciplinary management of lung cancer. New England Journal of Medicine, 350(4): 379–392.
- Dang TP, Carbone DP (2008). Cancer of the lung. In VT DeVita et al., eds., DeVita, Hellman, and Rosenberg’s Cancer: Principles and Practice of Oncology, 8th ed., vol. 1, pp. 887–791. Philadelphia: Lippincott Williams and Wilkins.
- National Comprehensive Cancer Network (2009). Small Cell Lung Cancer, version 2.2009. Available online: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.
Last Revised: May 27, 2010
Author: Healthwise Staff
Medical Review: Anne C. Poinier, MD - Internal Medicine & Michael Seth Rabin, MD - Medical Oncology
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