中国肺癌杂志2018，Vol.21Issue(3)：147-159,13.DOI:10.3779/j.issn.1009-3419.2018.03.05
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)
Shanghai Pulmonary Hospital Experts Consensus on the Management of Ground-Glass Nodules Suspected as Lung Adenocarcinoma (Version 1)
姜格宁 1张兰军 2高树庚 3陈克能 4张雷 1周晓 1史景云 1汪浩 1谢博雄 1蒋雷 1范江 1陈昶 1赵德平 1陈乾坤 1段亮 1何文新 1周逸鸣 1刘鸿程 1赵晓刚 1张鹏 1秦雄 1朱余明 1谢冬 1戴洁 1靳凯淇 1沈莹冉 1王海峰 1李辉5
作者信息
- 1. 200043 上海,同济大学附属上海市肺科医院
- 2. 510060 广州,中山大学附属肿瘤医院
- 3. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院
- 4. 100142 北京,北京大学肿瘤医院
- 5. 100020 北京,首都医科大学附属北京朝阳医院
- 折叠
摘要
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 na-tional 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 in-vasive 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.关键词
肺磨玻璃结节/原位腺癌/微浸润腺癌/浸润性腺癌/外科Key words
Pulmonary ground-glass nodules/Adenocarcinoma in situ/Minimal invasive adenocarcinoma/Invasive adenocarcinoma/Surgery引用本文复制引用
姜格宁,张兰军,高树庚,陈克能,张雷,周晓,史景云,汪浩,谢博雄,蒋雷,范江,陈昶,赵德平,陈乾坤,段亮,何文新,周逸鸣,刘鸿程,赵晓刚,张鹏,秦雄,朱余明,谢冬,戴洁,靳凯淇,沈莹冉,王海峰,李辉..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)[J].中国肺癌杂志,2018,21(3):147-159,13.
