Pretreatment diagnosis and surgical management of minimally invasive adenocarcinoma

VernacularTitle:微浸润腺癌的术前诊断和术式选择
Author: Yingran SHEN ¹ ; Jie DAI ; Gening JIANG
Author Information

1. 200433,同济大学附属上海市肺科医院胸外科
Keywords: Lung neoplasms; Adenocarcinoma; GGO; Sublobectomy
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2017;33(9):513-516
CountryChina
Language:Chinese
Abstract: Objective In 2011's new IASLC-ATS-ERS(International Association for the Study of Lung Cancer,American Thoracic Society,and European Respiratory Society) lung adenocarcinoma classification,adenocarcinoma in situ and minimally invasive adenocarcinoma(MIA) substituted for bronchioloalveolar carcinoma.The excellent prognosis wins these two histologic types a lot of attention.With the development of image technology,more and more lung adenocarcinomas are detected in early stage.Tumors showing a ground-glass nature in preoperative CT scans are more likely to be minimally invasive adenocarcinoma.This review discusses from the following 6 aspects.Imaging characteristics of MIA,the diagnostic value of intraoperative frozen section,preoperative localization,selection of surgical approaches for ground-glass opacity(GGO) nodules,the extent of lymph nodes dissection and management of multiple primary lung adenocarcinoma.The clinical guideline for early-stage lung adenocarcinoma is still controversial,strong evidence and further studies are needed.