Surgical Extent for Ground Glass Nodules
| Autor: | Suk Ki Cho |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Medicine (General) medicine.medical_specialty surgical extent lung neoplasms Ground-glass opacity law.invention R5-920 Randomized controlled trial law ground glass opacity medicine sublobar resection Collective of Current Reviews Lectures Lung business.industry Nodule (medicine) Retrospective cohort study medicine.disease medicine.anatomical_structure Resection margin Adenocarcinoma Surgery Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Wedge resection (lung) |
| Zdroj: | Journal of Chest Surgery, Vol 54, Iss 5, Pp 338-341 (2021) Journal of Chest Surgery |
| ISSN: | 2765-1614 2765-1606 |
| DOI: | 10.5090/jcs.21.029 |
| Popis: | As diagnoses of small ground glass nodule (GGN)-type lung adenocarcinoma are increasing due to the increasing frequency of computed tomography (CT) screening, surgical treatment for GGN-type lung adenocarcinoma has rapidly become more common. However, the appropriate surgical extent for these lesions remains unclear; therefore, several retrospective studies have been published and prospectively randomized controlled trials are being undertaken. This article takes a closer look at each clinical study. Convincing evidence must be published on 2 issues for sublobar resection to be accepted as a standard surgical option for GGN lung adenocarcinoma. In the absence of such evidence, it is better to perform lobar resection as long as the patient has sufficient lung function. The first issue is the definition of a sufficient resection margin, and the second is whether lymph node metastasis is conclusively ruled out before surgery. An additional issue is the need for an accurate calculation of the total size and solid size on CT. Given the results of clinical studies so far, wedge resection or segmentectomy shows a good prognosis for GGNs with a total size of 2 cm or less. Therefore, sublobar resection will play a key role even in patients who can tolerate lobectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|