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J Thorac Oncol. 2012 Oct;7(10):1563-6. doi: 10.1097/JTO.0b013e3182641b5c.

Long-term outcomes of 50 cases of limited-resection trial for pulmonary ground-glass opacity nodules.

Author information

1
Department of Thoracic Oncology, Research Center for Innovative Oncology, National Cancer Center Hospital East, Chiba, Japan.

Abstract

INTRODUCTION:

From 1998 to 2002, we performed a trial of prospective limited resection for pulmonary ground-glass opacity lesions 2 cm or smaller. This is the second report on the long-term outcome.

METHODS:

The enrollment criteria of the trial were as follows: pulmonary peripheral nodule less than 2 cm, diagnosis or suspected diagnosis of clinical T1N0M0 carcinoma with ground-glass opacity and lack of evident pleural indentations or vascular convergence on high-resolution computed tomography. Limited-resection (wedge or segment) specimens were intraoperatively examined by frozen section. If the nodule was confirmed as Noguchi type A or B with a resection margin of greater than 1 cm, the incision was sutured and the patient followed up. The median surveillance period was 10 years.

RESULTS:

In a total of 50 enrolled participants, there were two Noguchi type A, 23 type B and 15 type C adenocarcinomas; five atypical adenomatous hyperplasias, four fibroses, and one granuloma. Although there were no patients with recurrence within the first 5 years, in four patients who underwent limited-resection pulmonary adenocarcinoma developed more than 5 years after the initial resection, of either cut-end recurrence or metachronous primary disease.

CONCLUSIONS:

Of 26 patients who underwent limited resection, adenocarcinoma developed in four after more than 5 years. These were possibly cut-end recurrences. We concluded that 5 years is not a sufficient period for follow-up, and that limited resection should still be done only in a trial setting, even for small ground-glass opacity lesions.

PMID:
22878750
DOI:
10.1097/JTO.0b013e3182641b5c
[Indexed for MEDLINE]
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