Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1)
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...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Chinese Anti-Cancer Association; Chinese Antituberculosis Association
2018-03-01
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| Series: | Chinese Journal of Lung Cancer |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.3779/j.issn.1009-3419.2018.03.05 |
| _version_ | 1811216209459281920 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Gening JIANG |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T06:35:28Z |
| format | Article |
| id | doaj.art-29d6289cabc54fef87fb657603cd8347 |
| institution | Directory Open Access Journal |
| issn | 1009-3419 1999-6187 |
| language | zho |
| last_indexed | 2024-04-12T06:35:28Z |
| publishDate | 2018-03-01 |
| publisher | Chinese Anti-Cancer Association; Chinese Antituberculosis Association |
| record_format | Article |
| series | Chinese Journal of Lung Cancer |
| spelling | doaj.art-29d6289cabc54fef87fb657603cd83472022-12-22T03:43:53ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872018-03-0121314715910.3779/j.issn.1009-3419.2018.03.05Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1)Gening JIANG0Chang CHEN1Yuming ZHU2Dong XIE3Jie DAI4Kaiqi JIN5Yingran SHEN6Haifeng WANG7Hui LI8Lanjun ZHANG9Shugeng GAO10Keneng CHEN11Lei ZHANG12Xiao ZHOU13Jingyun SHI14Hao WANG15Boxiong XIE16Lei JIANG17Jiang FAN18Deping ZHAO19Qiankun CHEN20Liang DUAN21Wenxin HE22Yiming ZHOU23Hongcheng LIU24Xiaogang ZHAO25Peng ZHANG26Xiong QIN27Tongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaCapital Medical University Affiliated Beijing Chao-Yang Hospital, Beijing 100020 , ChinaSun Yat-sen University Cancer Center, Guangzhou 510060 , ChinaNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, ChinaPeking University Cancer Hospital and Institute, Beijing 100142 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaTongji University affiliated Shanghai Pulmonary Hospital, Shanghai 200043 , ChinaBackground 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.http://dx.doi.org/10.3779/j.issn.1009-3419.2018.03.05Pulmonary ground-glass nodulesAdenocarcinoma in situMinimal invasive adenocarcinomaInvasive adenocarcinomaSurgery |
| spellingShingle | 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 Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) Chinese Journal of Lung Cancer Pulmonary ground-glass nodules Adenocarcinoma in situ Minimal invasive adenocarcinoma Invasive adenocarcinoma Surgery |
| title | Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) |
| title_full | Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) |
| title_fullStr | Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) |
| title_full_unstemmed | Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) |
| title_short | Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1) |
| title_sort | shanghai pulmonary hospital experts consensus on the management of ground glass nodules suspected as lung adenocarcinoma version 1 |
| topic | Pulmonary ground-glass nodules Adenocarcinoma in situ Minimal invasive adenocarcinoma Invasive adenocarcinoma Surgery |
| url | http://dx.doi.org/10.3779/j.issn.1009-3419.2018.03.05 |
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