Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1).

Gening Jiang; Chang Chen; Yuming Zhu; Dong Xie; Jie Dai; Kaiqi Jin; Yingran Shen; Haifeng Wang; Hui LI; Lanjun Zhang; Shugeng Gao; Keneng Chen; Lei Zhang; Xiao Zhou; Jingyun Shi; Hao Wang; Boxiong Xie; Lei Jiang; Jiang Fan; Deping Zhao; Qiankun Chen; Liang Duan; Wenxin HE; Yiming Zhou; Hongcheng Liu; Xiaogang Zhao; Peng Zhang; Xiong Qin

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Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1).

VernacularTitle:上海市肺科医院磨玻璃结节早期肺腺癌的诊疗共识(第一版)
Author: Gening JIANG ¹ ; Chang CHEN ¹ ; Yuming ZHU ¹ ; Dong XIE ¹ ; Jie DAI ¹ ; Kaiqi JIN ¹ ; Yingran SHEN ¹ ; Haifeng WANG ¹ ; Hui LI ² ; Lanjun ZHANG ³ ; Shugeng GAO ⁴ ; Keneng CHEN ⁵ ; Lei ZHANG ¹ ; Xiao ZHOU ¹ ; Jingyun SHI ¹ ; Hao WANG ¹ ; Boxiong XIE ¹ ; Lei JIANG ¹ ; Jiang FAN ¹ ; Deping ZHAO ¹ ; Qiankun CHEN ¹ ; Liang DUAN ¹ ; Wenxin HE ¹ ; Yiming ZHOU ¹ ; Hongcheng LIU ¹ ; Xiaogang ZHAO ¹ ; Peng ZHANG ¹ ; Xiong QIN ¹
Author Information

1. Tongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , China.
2. Capital Medical University Affiliated Beijing Chao-Yang Hospital, Beijing 100020 , China.
3. Sun Yat-sen University Cancer Center, Guangzhou 510060 , China.
4. National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China.
5. Peking University Cancer Hospital and Institute, Beijing 100142 , China.
Publication Type:Journal Article
Keywords: Adenocarcinoma in situ; Invasive adenocarcinoma; Minimal invasive adenocarcinoma; Pulmonary ground-glass nodules; Surgery
MeSH: Adenocarcinoma; diagnosis; diagnostic imaging; surgery; Adenocarcinoma of Lung; China; Consensus; Hospitals; Humans; Lung Neoplasms; diagnosis; diagnostic imaging; surgery; Physicians; psychology; Positron Emission Tomography Computed Tomography; Practice Guidelines as Topic; Retrospective Studies; Solitary Pulmonary Nodule; diagnosis; diagnostic imaging; surgery; Tomography, X-Ray Computed
From: Chinese Journal of Lung Cancer 2018;21(3):147-159
CountryChina
Language:Chinese
Abstract: Background and objective As computed tomography (CT) screening for lung cancer becomes more common in China, so too does detection of pulmonary ground-glass nodules (GGNs). Although anumber of national or international guidelines about pulmonary GGNs have been published,most of these guidelines are produced by respiratory, oncology or radiology physicians, who might not fully understand the progress of modern minimal invasive thoracic surgery, and these current guidelines may overlook or underestimate the value of thoracic surgery in the management of pulmonary GGNs. In addition, the management for pre-invasive adenocarcinoma is still controversial. Based onthe available literature and experience from Shanghai Pulmonary Hospital, we composed this consensus about diagnosis and treatment of pulmonary GGNs. For lesions which are considered as adenocarcinoma in situ, chest thin layer CT scan follow-up is recommended and resection can only be adopt in some specific cases and excision should not exceed single segment resection. For lesions which are considered as minimal invasive adenocarcinoma, limited pulmonary resection or lobectomy is recommended. For lesions which are considered as early stage invasive adenocarcinoma, pulmonary resection is recommend and optimal surgical methods depend on whether ground glass component exist, location, volume and number of the lesions and physical status of patients. Principle of management of multiple pulmonary nodules is that primary lesions should be handled with priority, with secondary lesions taking into account. .