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. Sex and tumor size did not reach significant predictor status of survival. Multivariate analysis revealed that age at diagnosis less then 60, low tumor grade, and local surgery were significantly correlated with improved OS and CSS.Patients with LLS with metastasis at diagnosis experienced quite poor prognosis. Currently, surgery for the primary tumor significantly prolonged the survival of those patients, whereas chemotherapy and radiotherapy need to be further confirmed. Postoperative pneumonia (POP) is one of the most frequent comp