The diagnosis and treatment of lung cancer presented as ground-glass nodule

被引:53
作者
Chen, Ke-Neng [1 ]
机构
[1] Peking Univ Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res, Dept Thorac Surg 1, Minist Educ, Beijing 100142, Peoples R China
基金
国家重点研发计划;
关键词
Lung cancer; Ground-glass nodule; Diagnosis; Screening; Staging; SMALL ADENOCARCINOMA; COMPUTED-TOMOGRAPHY; SUBSOLID NODULES; CLASSIFICATION; SOCIETY; TUMORS; CT;
D O I
10.1007/s11748-019-01267-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pulmonary nodules that manifest as ground-glass opacity are particularly challenging on account of their malignant potential and heterogeneous characteristics. The "ground-glass nodule-like" lung cancer is different from the conventional lung cancer. This review focuses on the radiologic and pathologic classifications of ground-glass nodules, along with the staging and clinical management of these lesions. In addition, we discuss the lung cancer high-risk population shift and follow-up of ground-glass nodules in the light of experience from screening trials. The standard of care surgical treatment of early lung cancer is still lobectomy with systematic lymph node dissection. However, a recent research has shown that some ground-glass nodules may be treated with sublobar resections or non-surgical treatment; these findings may expand the treatment options available in the future.
引用
收藏
页码:697 / 702
页数:6
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