Long-term prognosis of video-assisted limited surgery for early lung cancer☆

Sugi, Kazuro; Kobayashi, Seiki; Sudou, Manabu; Sakano, Hisashi; Matsuda, Eriko; Okabe, Kazunori

doi:10.1016/j.ejcts.2009.07.017

Cited by 46 publications

(47 citation statements)

References 14 publications

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“…1) of which 81 fit the inclusion and exclusion criteria. Among the 81 articles, 11 articles did not report on PSNs [19, 21–30], 2 did not include surgically resected cases [31, 32], 13 did not report DFS, lung cancer-specific-survival, or overall survival [33–45], 9 articles reported only on recurrence/death [13, 46–53], and 10 articles were conference abstracts with insufficient data. This left 36 articles reporting on 31 unique studies (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Distinguishing between PSNs and solid nodules with only one CT scan may be difficult, particularly for solid nodules as they may be surrounded by a thin rim of haziness (i.e., nonsolid component). Thus, when progression from an NSN to PSN or solid nodule cannot be confirmed on thin-section CT scans; upper limits of the solid component of PSNs should be used to avoid misclassifying a solid nodule as a PSN [4, 5, 19, 20]. Examples of such misclassifications have been reported, leading to misunderstanding of the cell types that manifest as PSNs and their survival rates [5].…”

Section: Methodsmentioning

confidence: 99%

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Controversies on lung cancers manifesting as part-solid nodules

Yip

Liu

et al. 2017

Eur Radiol

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Purpose Summarise survival of patients with resected lung cancers manifesting as part-solid nodules (PSNs). Methods PubMed/MEDLINE and EMBASE databases were searched for all studies/clinical trials on CT-detected lung cancer in English before 21 December 2015 to identify surgically resected lung cancers manifesting as PSNs. Outcome measures were lung cancer-specific survival (LCS), overall survival (OS), or disease-free survival (DFS). All PSNs were classified by the percentage of solid component to the entire nodule diameter into category PSNs <80% or category PSNs ≥80%. Results Twenty studies reported on PSNs <80%: 7 reported DFS and 2 OS of 100%, 6 DFS 96.3-98.7%, and 11 OS 94.7-98.9% (median DFS 100% and OS 97.5%). Twenty-seven studies reported on PSNs ≥80%: 1 DFS and 2 OS of 100%, 19 DFS 48.0%-98.0% (median 82.6%), and 16 reported OS 43.0%-98.0% (median DFS 82.6%, OS 85.5%). Both DFS and OS were always higher for PSNs <80%. Conclusion A clear definition of the upper limit of solid component of a PSN is needed to avoid misclassification because cell-types and outcomes are different for PSN and solid nodules. The workup should be based on the size of the solid component.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Controversies on lung cancers manifesting as part-solid nodules

Yip

Liu

et al. 2017

Eur Radiol

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“…The pooled HR of OS/CSS from studies published after 2004 was 1.255 (95% CI: 1.100–1.431, P = 0.001) (Supplementary ). The combined HR of RFS from 15 eligible studies was 1.325 (95% CI: 1.019–1.724, P = 0.036) (Supplementary ).…”

Section: Resultsmentioning

confidence: 99%

Meta‐analysis of lobectomy, segmentectomy, and wedge resection for stage I non‐small cell lung cancer

Zhang

Sun

Wang

et al. 2014

Journal of Surgical Oncology

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“…In recent studies, sublobar resection has shown equivalent oncological results and survival outcome compared with lobectomy (25)(26)(27). Moreover, in 2010, Sugi and colleagues reported a retrospective study of 159 patients, revealing that there were no significant differences among the wedge resection, segmentectomy, and lobectomy approaches in the treatment of small NSCLC (28). Therefore, a limited resection is considered more appropriate in specific patients, such as those with small lung lesions, elderly patients, or those at a high risk of comorbidity.…”

Section: Discussionmentioning

confidence: 99%