BACKGROUND:The current study was performed to investigate the potential impact of tumor cell expression of estrogen receptor-a (ER-a), progesterone receptor (PR), and androgen receptor (AR) on the outcomes of patients who received radiotherapy (RT) for nonsmall cell lung cancer (NSCLC). METHODS: Tumor cell expression of ER-a, PR, and AR as well as 9 additional potential prognostic factors were retrospectively evaluated in 64 patients who underwent RT for AJCC stage II/III NSCLC. The endpoints investigated were locoregional control, metastases-free survival, and overall survival. The additional potential prognostic factors were age, gender, Karnofsky performance score, histology, T classification, N classification, surgery, smoking during RT, and hemoglobin levels during RT. Subgroup analyses were performed for women and men. RESULTS: On univariate analysis, locoregional control was not found to be associated with expression of PR or AR. ER-a expression demonstrated a strong trend toward worse locoregional control. On multivariate analysis, ER-a expression was found to be significantly associated with worse locoregional control (risk ratio [RR], 3.12; P ¼ .035). On univariate analysis, metastases-free survival was not associated with expression of ER-a, PR, or AR. On univariate analysis, survival was found to be negatively associated with expression of ER-a (P ¼ .003) but not with PR or AR expression. On multivariate analysis, ER-a expression maintained significance (RR, 2.73; P ¼ .022). CONCLUSIONS: Tumor cell expression of ER-a was found to be a negative prognostic factor for treatment outcomes in both women and men. Expression of PR and AR was not associated with outcomes.